Henderson, Trudie
Henderson, Trudie is an individual health care provider with primary practice located at 855 Montgomery St Dept Of Ob/Gyn, Fort Worth TX 76107-2553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Henderson, Trudie can be contacted via phone (817) 920-0700.Contact Information
Primary practice address
855 Montgomery St Dept Of Ob/Gyn
Fort Worth TX 76107-2553
Phone: (817) 920-0700
Fax: (817) 626-8952
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 558812 | Texas |
Profile Details
NPI number | 1932280070 |
---|---|
LBN Legal business name | Henderson, Trudie |
Credentials | Women's Health Nurse Practitioner (WHNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2006 |
Last updated | Sep 26th, 2011 - about 13 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 | 1932280070 | NPPES |
Texas | MEDICAID | 156154002 | |
Texas | Other | P00635653 | |
Texas | Other | 8N8823 |
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