Hennebry, Thomas A

Hennebry, Thomas A is an individual health care provider with primary practice located at 4050 W Memorial Rd Fl 3 , Oklahoma City OK 73120-8382. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hennebry, Thomas A can be contacted via phone (405) 608-3800.

Contact Information

Primary practice address
4050 W Memorial Rd Fl 3 Oklahoma City OK 73120-8382
Phone: (405) 608-3800
Fax: (405) 608-3910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 22830 Oklahoma
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 22830 Oklahoma

Profile Details

NPI number 1881662070
LBN Legal business name Hennebry, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881662070 NPPES
Oklahoma MEDICAID 100027980A

Popular Providers