| Organization Name: | RICHARD G. HENRY |
| NPI Number: | 1114192911 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH P SPLAWN (BUSINESS ASSISTANT) |
| Mailing Address: | 112 Val Verde Altus |
| State: | OK US |
| Postal Code: | 73521 |
| Phone Number: | 5804820441 |
| Fax Number: | 5804820443 |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 08/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 4975 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |