Individual
PHILLIP HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
601 SHAFFNER ST, PONDER, TX 76259-7002
(940) 479-2782
(940) 479-2675
Mailing address
601 SHAFFNER ST, PONDER, TX 76259-7002
(940) 479-2782
(940) 479-2675
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
3671
TX
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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