# DEBORAH B HENDERSON, MD, PLLC

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

## Provider details

- **NPI number:** 1225329584
- **Authorized official:** DR. DEBORAH BARBARA HENDERSON MD (OWNER/MANAGER)
- **Authorized official phone:** (817) 705-8505

## Contact information

- **Practice address:** 372 COUNTY ROAD 381, SAN ANTONIO, TX 78253-6826
- **Practice address phone:** (817) 705-8505
- **Mailing address:** 372 COUNTY ROAD 381, SAN ANTONIO, TX 78253-6826
- **Mailing address phone:** (817) 705-8505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207NI0002X | Clinical & Laboratory Dermatological Immunology Physician | N4467 | TX | Yes |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 04/21/2011