Organization
DENTON PEDIATRIC PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (PRESIDENT)
(972) 401-8720
Entity
Organization
Contact information
Practice address
3537 S I-35 E, SUITE 207, DENTON, TX 76210-6800
(940) 565-1222
(940) 565-1220
Mailing address
3537 S I-35 E, SUITE 207, DENTON, TX 76210-6800
(940) 565-1222
(940) 565-1220
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003RH
BLUE CROSS BLUE SHIELD
TX
05
—
194449801
—
TX
Enumeration date
04/01/2008
Last updated
10/15/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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