Individual
LINDA HENRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10701 VINTAGE PRESERVE, HOUSTON, TX 77070
(713) 442-1500
Mailing address
4501 GROVEWAY DR, HOUSTON, TX 77087-1122
(713) 644-1568
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D6029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132793405
—
TX
05
—
132793407
—
TX
05
—
132793408
—
TX
05
—
32793409
—
TX
Enumeration date
10/05/2006
Last updated
06/01/2009
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