Individual
DR. JOSE ANDRES HENAO CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 STANTON L YOUNG BLVD STE 430, OKLAHOMA CITY, OK 73104-5022
(405) 271-6434
(405) 271-6264
Mailing address
1122 NE 13TH ST # 262, OKLAHOMA CITY, OK 73117-1039
(405) 271-6434
(405) 271-6264
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
40990
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2017
Last updated
12/01/2023
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