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Organization
HENDERSON FAMILY MEDICINE, PLLC
Active
Organization
HENDERSON FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAD TITLOW FNP (OWNER)
(903) 235-0086
Entity
Organization
Contact information
Practice address
105 N HIGH ST, HENDERSON, TX 75652-3133
(903) 235-0086
(903) 657-1674
Mailing address
105 N HIGH ST, HENDERSON, TX 75652-3133
(903) 235-0086
(903) 657-1674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1106
TX
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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