Individual
MRS. KRISTA PRICE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
653398
TX
363LA2200X
Adult Health Nurse Practitioner
AP145144
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP145144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421312601
—
TX
01
—
421312602
CSHCN
TX
01
—
8NY177
BCBS
TX
Enumeration date
01/27/2020
Last updated
05/19/2021
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