Individual
BRIAN PORTER HENDERSON
Active
Individual
BRIAN PORTER HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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