| Michael E. Henderson | |
|
8329 Nw 28th St Bethany OK 73008-4867 | |
| (580) 606-3809 | |
| Not Available |
| Full Name | Michael E. Henderson |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8329 Nw 28th St, Bethany, Oklahoma |
| Authorized Official Name and Position | Michael Eric Henderson (BHRS) |
| Authorized Official Contact | 5806063809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E. Henderson 8329 Nw 28th St Bethany OK 73008-4867 Ph: (580) 606-3809 | Michael E. Henderson 8329 Nw 28th St Bethany OK 73008-4867 Ph: (580) 606-3809 |
| NPI Number | 1750719969 |
|---|---|
| Provider Enumeration Date | 10/25/2013 |
| Last Update Date | 10/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750719969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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