Individual
CHELSEA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 FM 2181 STE 100, HICKORY CREEK, TX 75065-7636
(940) 498-4422
Mailing address
6008 MAPLE AVE, DALLAS, TX 75235-6559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17842
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2022
Last updated
05/01/2024
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