Individual
MICHAEL CLARKE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3739 LEGACY, WEATHERFORD, OK 73096-9746
(580) 774-4791
(580) 772-2267
Mailing address
3701 E MAIN ST, WEATHERFORD, OK 73096-3309
(580) 774-4791
(580) 772-2267
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22596
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100207090A
—
OK
Enumeration date
07/13/2006
Last updated
08/07/2023
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