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Individual

HARRY MARCUS HENSON

Active
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Individual

HARRY MARCUS HENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L5763
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00350Z
ORGANIZATION MEDICARE PIN
TX
01
—
1255465357
ORGANIZATION NPI
TX
05
—
159563905
—
TX
01
—
183283401
MEDICAID ORGANIZATIONAL
TX
Enumeration date
07/18/2005
Last updated
08/19/2024
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