Individual
IAN J HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY STE 407, RICHARDSON, TX 75082-4279
(972) 680-0668
(972) 680-2499
Mailing address
2821 E PRESIDENT GEORGE BUSH HWY STE 407, RICHARDSON, TX 75082-4279
(972) 680-0668
(972) 680-2499
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
T1383
TX
207RP1001X
Pulmonary Disease Physician
Primary
T1383
TX
Other
Enumeration date
06/06/2014
Last updated
07/08/2021
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