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Organization
RICHARD A. HENDERSON, MD PA
Active
Organization
RICHARD A. HENDERSON, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A HENDERSON M.D. (PHYSICIAN)
(806) 771-7222
Entity
Organization
Contact information
Practice address
3516 22ND PL, LUBBOCK, TX 79410-1316
(806) 771-7222
(806) 771-7223
Mailing address
3516 22ND PL, LUBBOCK, TX 79410-1316
(806) 771-7222
(806) 771-7223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098LP
BCBS OF TX PROVIDER #
TX
05
—
176271801
—
TX
Enumeration date
05/17/2006
Last updated
10/18/2007
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