Organization
ROSS C HENSLEY M. D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS CHARLES HENSLEY MD (PHYSICIAN)
(580) 248-7500
Entity
Organization
Contact information
Practice address
4417 W GORE BLVD STE 7, LAWTON, OK 73505-5978
(580) 248-7500
(580) 355-2356
Mailing address
4417 W GORE BLVD STE 7, LAWTON, OK 73505-5978
(580) 248-7500
(580) 355-2356
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9997
OK
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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