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Individual
WELDON S HENDERSON
Active
Individual
WELDON S HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
535862
TX
367500000X
Certified Registered Nurse Anesthetist
R0025031
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100781230A
—
OK
01
—
89953U
BCBS
TX
Enumeration date
07/13/2006
Last updated
01/05/2012
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