Individual
DR. MICHAEL DWAYNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 SCENIC DR, SUITE 3308, GEORGETOWN, TX 78626-7724
(512) 869-2566
(512) 869-7434
Mailing address
2 SAINT MARKS PL STE 160, LA GRANGE, TX 78945-1253
(979) 242-5677
(979) 242-5680
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
Q9636
TX
Other
Enumeration date
07/12/2007
Last updated
02/10/2022
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