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Organization
RANDALL HENDERSON, D.O. PLLC
Active
Organization
RANDALL HENDERSON, D.O. PLLC
Active
Other names
Whitney Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL DALE HENDERSON D.O. (MANAGING MEMBER)
(254) 694-3621
Entity
Organization
Contact information
Practice address
1314 N BRAZOS ST, WHITNEY, TX 76692-2010
(254) 694-3621
(254) 694-7436
Mailing address
PO BOX 2177, WHITNEY, TX 76692-5177
(254) 694-3621
(254) 694-7436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1340
TX
Other
Enumeration date
04/17/2014
Last updated
04/24/2014
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