Individual
DIANA H HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4775 HAMILTON WOLFE RD STE 1, SAN ANTONIO, TX 78229-3456
(210) 616-0283
(210) 616-0071
Mailing address
4775 HAMILTON WOLFE RD STE 1, SAN ANTONIO, TX 78229-3456
(210) 616-0283
(210) 616-0071
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H6284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133549901
—
TX
Enumeration date
08/03/2005
Last updated
12/27/2013
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