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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881662070 | NPPES |
Oklahoma | MEDICAID | 100027980A |
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