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Individual

MRS. BETTYE HELEN HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
708 HILL COUNTRY DR STE 400, KERRVILLE, TX 78028-6071
(830) 896-1433
(830) 896-1440
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP110064
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1883894-02
TX
01
1A1567
MEDICARE PTAN
TX
Enumeration date
09/13/2006
Last updated
03/26/2020
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