Individual
DR. KESHA RICHELLE HARRIS-HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3555 W WHEATLAND RD, DALLAS, TX 75237-3461
(972) 709-2580
(972) 283-9387
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
L0251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105095705
—
TX
05
—
105095706
—
TX
05
—
105095707
—
TX
01
—
8R1455
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
12/27/2010
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