Henderson, Jeffrey Mark
Henderson, Jeffrey Mark is an individual health care provider with primary practice located at 430 W Bandera Rd Ste 9 , Boerne TX 78006-2521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Henderson, Jeffrey Mark can be contacted via phone (830) 249-1717.Contact Information
Primary practice address
430 W Bandera Rd Ste 9
Boerne TX 78006-2521
Phone: (830) 249-1717
Fax: (830) 816-2103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L 9240 | Texas |
Profile Details
| NPI number | 1912988007 |
|---|---|
| LBN Legal business name | Henderson, Jeffrey Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1912988007 | NPPES |
| Texas | MEDICAID | 185711202 |
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