Most Relevant Information
Provider Data
| NPI Number: | 1003508581 |
| Provider Name: | NICHOLAS CHARLES HENSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2023 |
| Last Updated: | 05/23/2023 |
Provider Practice Location
5310 E 31ST ST
TULSA
OK
741355012
Practice Location Phone/Fax
| Phone: | 9186003100 |
| Fax: | 9185601399 |
Provider Mailing Location
5310 E 31ST ST S
TULSA
OK
741350000
Provider Mailing Phone/Fax
| Phone: | 9186003100 |
| Fax: | 9185601399 |