Individual
FREDERICK JOHN HENSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3506 21ST ST, STE 201, LUBBOCK, TX 79410
(806) 725-4865
(806) 723-7786
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
78177
NM
207X00000X
Orthopaedic Surgery Physician
Primary
L2934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149528501
—
TX
Enumeration date
04/14/2006
Last updated
02/01/2019
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