Individual
VALERIE HENDERSHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
1322 SPACE PARK DR, C-102, HOUSTON, TX 77058-3400
(832) 932-5787
(832) 932-5979
Mailing address
PO BOX 2144, LEAGUE CITY, TX 77574-2144
(832) 932-5787
(832) 832-5979
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
147330
TX
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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