Individual
ROBERT V HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2021 MAHANEY AVE, SUITE #4, TAHLEQUAH, OK 74464-5794
(918) 207-1900
(918) 207-0711
Mailing address
2021 MAHANEY AVE, SUITE #4, TAHLEQUAH, OK 74464-5794
(918) 207-1900
(918) 207-0711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3198
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254920A
—
OK
Enumeration date
06/01/2006
Last updated
10/29/2010
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