# MARC HENSON, M.D., P.A.

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

## Provider details

- **NPI number:** 1255465357
- **Authorized official:** DR. MARC HENSON MD (OWNER)
- **Authorized official phone:** (806) 358-8711

## Contact information

- **Practice address:** 1901 MEDI-PARK DR, SUITE 25, AMARILLO, TX 79106
- **Practice address phone:** (806) 358-8711
- **Practice address fax:** (806) 356-8498
- **Mailing address:** 1901 MEDI-PARK DR, SUITE 25, AMARILLO, TX 79106
- **Mailing address phone:** (806) 358-8711
- **Mailing address fax:** (806) 356-8498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | L5763 | TX | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 10/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1255465357 | ORGANIZATIONAL NPI | TX |
| 05 | — | 183283401 | — | TX |