John M Henderson Md Fapa, Pllc

LBN: John M Henderson Md Fapa, Pllc
John M Henderson Md Fapa, Pllc is an health care organization with primary practice located at 716 S Koenigheim St , San Angelo TX 76903-6770. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty. John M Henderson Md Fapa, Pllc can be contacted via phone (443) 829-5805, or through Henderson, John M via phone (325) 617-7913.

Contact Information

Primary practice address
716 S Koenigheim St San Angelo TX 76903-6770
Phone: (443) 829-5805
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henderson, John M
Phone: (325) 617-7913

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X D4150 Texas

Profile Details

NPI number 1164850657
LBN Legal business name John M Henderson Md Fapa, Pllc
DBA Doing business as
Authorized official Henderson, John M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2013
Last updated Mar 18th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164850657 NPPES
Texas Other D4150 TX MEDICAL LICENSE

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