Individual
JAMES DAVID HENNEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3024 MIDDLESEX DR, OKLAHOMA CITY, OK 73120-4347
(405) 269-1752
Mailing address
3024 MIDDLESEX DR, OKLAHOMA CITY, OK 73120-4347
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39161
OK
Other
Enumeration date
04/16/2018
Last updated
08/11/2022
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