Individual
DR. PATRICK GLEN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-3700
(918) 481-4063
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6045
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36189
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200922530A
—
OK
Enumeration date
05/03/2016
Last updated
08/31/2020
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