Individual
JODY KATHLEEN HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2911
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M3254
TX
Other
Enumeration date
08/12/2006
Last updated
12/10/2021
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