| Marc Henson, M.d., P.a. | |
|
1901 Medi-park Dr Suite 25 Amarillo TX 79106 | |
| (806) 358-8711 | |
| (806) 356-8498 |
| Full Name | Marc Henson, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 Medi-park Dr, Amarillo, Texas |
| Authorized Official Name and Position | Marc Henson (OWNER) |
| Authorized Official Contact | 8063588711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Henson, M.d., P.a. 1901 Medi-park Dr Suite 25 Amarillo TX 79106 Ph: (806) 358-8711 | Marc Henson, M.d., P.a. 1901 Medi-park Dr Suite 25 Amarillo TX 79106 Ph: (806) 358-8711 |
| NPI Number | 1255465357 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 10/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255465357 | NPI | - | NPPES |
| 1255465357 | Other | TX | ORGANIZATIONAL NPI |
| 183283401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L5763 (Texas) | Primary |
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