| John M Henderson Md Fapa, Pllc | |
|
716 S Koenigheim St San Angelo TX 76903-6770 | |
| (443) 829-5805 | |
| Not Available |
| Full Name | John M Henderson Md Fapa, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 716 S Koenigheim St, San Angelo, Texas |
| Authorized Official Name and Position | John M Henderson (PROVIDER) |
| Authorized Official Contact | 3256177913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Henderson Md Fapa, Pllc 716 S Koenigheim St San Angelo TX 76903-6770 Ph: (325) 617-7913 | John M Henderson Md Fapa, Pllc 716 S Koenigheim St San Angelo TX 76903-6770 Ph: (443) 829-5805 |
| NPI Number | 1164850657 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 03/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164850657 | NPI | - | NPPES |
| D4150 | Other | TX | TX MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | D4150 (Texas) | Primary |
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