# TERRY L. HENDERSON, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043405848
- **Authorized official:** MRS. ANNIE T DOTLICH (BILLING MANAGER)
- **Authorized official phone:** (317) 846-4366

## Contact information

- **Practice address:** 8801 N MERIDIAN ST STE 208, INDIANAPOLIS, IN 46260-5315
- **Practice address phone:** (317) 846-4366
- **Practice address fax:** (317) 815-2249
- **Mailing address:** 8801 N MERIDIAN ST STE 208, INDIANAPOLIS, IN 46260-5315
- **Mailing address phone:** (317) 846-4366
- **Mailing address fax:** (317) 815-2249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01024494 | IN | Yes |

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 06/28/2010