Organization
HENDERSON MEMORIAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LEITNER (CEO)
(903) 655-3616
Entity
Organization
Contact information
Practice address
300 WILSON ST, HENDERSON, TX 75652-5956
(903) 657-7541
(903) 657-4009
Mailing address
300 WILSON ST, HENDERSON, TX 75652-5956
(903) 657-7541
(903) 657-4009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/22/2006
Last updated
09/05/2008
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