Individual
BRIAN PORTER HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.082878
OH
207L00000X
Anesthesiology Physician
Primary
M4144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883407 01
—
TX
01
—
8S3666
BLUE CROSS
TX
01
—
P00637047
MEDICARE RAILROAD
TX
Enumeration date
07/24/2006
Last updated
04/12/2024
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