Mark Douglas Henderson, CRNA | |
3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | |
(210) 916-8516 | |
Not Available |
Full Name | Mark Douglas Henderson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 26 Years |
Location | 3851 Roger Brooke Dr, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861470148 | NPI | - | NPPES |
191871609 | Medicaid | TX | |
1918716009 | Medicaid | TX | |
191871608 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 671885 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
El Paso Ams Pllc | 9931520970 | 66 |
Entity Name | Texas Tech University Health Sciences Center El Paso |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
Entity Name | El Paso County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316936990 PECOS PAC ID: 2365431509 Enrollment ID: O20040511001452 |
Entity Name | Seven Flags Anesthesia Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841625878 PECOS PAC ID: 5395971865 Enrollment ID: O20131112001248 |
Entity Name | Anesthesia Associates Of El Paso Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942626908 PECOS PAC ID: 0941426357 Enrollment ID: O20140721001702 |
Entity Name | West Star Anesthesia Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003234402 PECOS PAC ID: 0042436149 Enrollment ID: O20140725001523 |
Entity Name | Anesthesia Management Solutions Of Texas, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235750795 PECOS PAC ID: 7214358373 Enrollment ID: O20200528002404 |
Entity Name | El Paso Ams Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134740202 PECOS PAC ID: 9931520970 Enrollment ID: O20200601000147 |
Mailing Address | Practice Location Address |
---|---|
Mark Douglas Henderson, CRNA 1443 Osprey Hts, San Antonio, TX 78260-6016 Ph: (830) 438-4525 | Mark Douglas Henderson, CRNA 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 Ph: (210) 916-8516 |
Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 253-223-6272 | |
Dr. Adam Sokolowski, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-8216 | |
Matthew Wayne Mcgregor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Mrs. Debra Valdivieso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9404 | |
Heather Sherman Leal, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8534 | |
Kendal W Miller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588 | |
George C May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588 |