Individual
DAVID RANDALL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(833) 882-2737
Mailing address
1601 TRINITY ST STOP Z0200, AUSTIN, TX 78712-1850
(833) 882-2737
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1149942
TX
Other
Enumeration date
09/01/2021
Last updated
09/05/2024
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