Henry T Horrilleno MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25632 Issued in OK

Legal business name

HENRY T HORRILLENO MD PA

Practice address

1800 W 1St St
Suite 108
Elk City, OK 73644-3133

Phone

(580) 225-4200

Fax

(580) 225-4201

NPI assigned

Jul 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Henry T Horrilleno, MD

Title

Physician Owner

Phone

(580) 225-4200

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1629276084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "SUITE 108",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-225-4200",
            "fax_number": "580-225-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "SUITE 108",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-225-4200",
            "fax_number": "580-225-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY T HORRILLENO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "HORRILLENO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "580-225-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "25632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200115760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Torrie Henderson
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• Angie L Hester
• Hetlevia R Jensen MD PLLC
• Ashley Ann Higgins, MSN, ARNP
• High Plains Obstetrics & Gynecology Inc PC

• Surgery Physician in Elk City, OK
• Providers in Elk City, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.