Individual
DR. MICHAEL DELL HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
107 E POST AVE, COALGATE, OK 74538-3001
(580) 927-2828
(580) 927-9876
Mailing address
610 E 24TH STREET, TISHOMINGO, OK 73460-3245
(580) 371-2343
(580) 371-2451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4194
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200190090A
—
OK
Enumeration date
05/01/2007
Last updated
12/20/2013
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