Individual
JOHN WESLEY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 771-8600
Mailing address
2910 OLYMPIA DR, TEMPLE, TX 76502-3060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F1637
TX
Other
Enumeration date
06/03/2006
Last updated
03/31/2008
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