Henderson, Kyle

Henderson, Kyle is an individual health care provider with primary practice located at 1602 Rock Prairie Rd , College Station TX 77845-8306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Henderson, Kyle can be contacted via phone (979) 696-4440.

Contact Information

Primary practice address
1602 Rock Prairie Rd College Station TX 77845-8306
Phone: (979) 696-4440
Fax: (979) 694-8500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H8121 Texas

Profile Details

NPI number 1295776821
LBN Legal business name Henderson, Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated May 21st, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295776821 NPPES
Texas MEDICAID 111955404

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