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Individual

JOHN ROBERT HENDRIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 403-6352
Mailing address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 403-6352

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24959
OK
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
24959
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200086200A
OK
Enumeration date
06/21/2006
Last updated
03/07/2018
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