Henderson, Weldon S

Henderson, Weldon S is an sole proprietor health care provider with primary practice located at 4750 N Expressway , Brownsville TX 78526-4120. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Henderson, Weldon S can be contacted via phone (956) 554-2014.

Contact Information

Primary practice address
4750 N Expressway Brownsville TX 78526-4120
Phone: (956) 554-2014
Fax: (956) 554-2001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0025031 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 535862 Texas

Profile Details

NPI number 1447275961
LBN Legal business name Henderson, Weldon S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Jan 5th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447275961 NPPES
Oklahoma MEDICAID 100781230A
Oklahoma Other 89953U

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