Individual
ELIZABETH BESTE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 MEDICAL, SEGUIN, TX 78155-5392
(830) 484-4604
(830) 372-8905
Mailing address
105 MEDICAL, SEGUIN, TX 78155-5392
(830) 484-4604
(830) 372-8905
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10044572
TX
208600000X
Surgery Physician
Primary
Q8210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371473501
—
TX
01
—
BP10044572
PIT
TX
Enumeration date
05/02/2012
Last updated
11/13/2024
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