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NPI Code Detail

MEDICARE: DR. DAVID L HENDERSON M.D.

MEDICARE:  DR. DAVID L HENDERSON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician27066SC
22084P0800XPsychiatry PhysicianN0088TX

General Provider Information

NPI Number : 1831245893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID L HENDERSON M.D.
Provider Business Mailing Address
First Line : 5910 N CENTRAL EXPY
Second Line : SUITE 790
City : DALLAS
State : TX
Zip : 75206-5125
Country : US
Telephone Number : 469-620-1410
Fax Number : 469-522-3690
Provider Business Practice Location Address
First Line : 5910 N CENTRAL EXPY
Second Line : SUITE 790
City : DALLAS
State : TX
Zip : 75206-5125
Country : US
Telephone Number : 469-620-1410
Fax Number : 469-522-3690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 12/01/2016

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Directions to “ DR. DAVID L HENDERSON M.D.” Practice Location

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