Individual
ELIZABETH ANNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5232 COLLEYVILLE BLVD, SUITE 100, COLLEYVILLE, TX 76034-7826
(817) 912-9920
(817) 498-0635
Mailing address
5232 COLLEYVILLE BLVD, SUITE 100, COLLEYVILLE, TX 76034-7826
(817) 912-9920
(817) 498-0635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M8033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191385702
—
TX
Enumeration date
12/09/2007
Last updated
02/03/2012
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