Individual
GLENROY HINES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 E ROBINSON ST, STE 1300, NORMAN, OK 73071-6697
(405) 360-9966
(405) 360-9905
Mailing address
500 E ROBINSON ST, STE 1300, NORMAN, OK 73071-6697
(405) 360-9966
(405) 360-9905
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2341
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2341
OKLAHOMA STATE MEDICAL LICENSE
OK
Enumeration date
01/14/2014
Last updated
01/14/2014
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