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Organization

DEBORAH B HENDERSON, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBORAH BARBARA HENDERSON MD (OWNER/MANAGER)
(817) 705-8505
Entity
Organization

Contact information

Practice address
372 COUNTY ROAD 381, SAN ANTONIO, TX 78253-6826
(817) 705-8505
Mailing address
372 COUNTY ROAD 381, SAN ANTONIO, TX 78253-6826
(817) 705-8505

Taxonomy

Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
N4467
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770765265
NPI INDIVIDUAL
Enumeration date
04/21/2011
Last updated
04/21/2011
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