Tiffany Raye Henderson, FNP-C | |
25553 Highway 59, Porter, TX 77365-6154 | |
(713) 442-2100 | |
Not Available |
Full Name | Tiffany Raye Henderson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 25553 Highway 59, Porter, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942802624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1031064 (Texas) | Primary |
Entity Name | Kelsey-seybold Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
Entity Name | Space City Pain Specialists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790739472 PECOS PAC ID: 8921067018 Enrollment ID: O20041005000744 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Raye Henderson, FNP-C 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Tiffany Raye Henderson, FNP-C 25553 Highway 59, Porter, TX 77365-6154 Ph: (713) 442-2100 |
Yanira Concepcion Hernandez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24420 Fm 1314 Rd, Porter, TX 77365 Phone: 281-577-5108 | |
Ms. Wanda Santini Tierno, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25553 U.s. Highway 59, Porter, TX 77365 Phone: 713-442-2100 | |
Ann Bakama, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23865 Fm 1314 Rd, Porter, TX 77365 Phone: 281-354-1815 | |
Mrs. Kendal Shay Garza, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25553 Highway 59, Porter, TX 77365 Phone: 713-442-2100 | |
Lincy Abraham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24917 Fm 1314 Rd, Porter, TX 77365 Phone: 713-461-2915 Fax: 713-461-5307 | |
Kristen Annette Brucker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22006 Soft Pines Ct, Porter, TX 77365 Phone: 830-928-6518 | |
Mrs. Brandy Dene Evans, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23865 Fm 1314 Rd, Porter, TX 77365 Phone: 713-870-3770 |