Individual
DR. EUGENE B HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 W 15TH ST, BLDG B, SUITE 320, PLANO, TX 75075-4737
(972) 985-8838
(972) 596-1724
Mailing address
16980 DALLAS PKWY, SUITE 200, DALLAS, TX 75248-1908
(972) 985-8838
(972) 596-1724
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G3455
TX
207UN0901X
Nuclear Cardiology Physician
G3455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127759207
—
TX
01
—
8F3201
BCBS
TX
Enumeration date
04/14/2006
Last updated
12/08/2016
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