Individual
SHAWNA M HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 S JACKSON ST, SAN ANGELO, TX 76904-5129
(325) 223-6300
(325) 793-3587
Mailing address
4601 HARTFORD ST, ABILENE, TX 79605-4603
(325) 793-3400
(325) 793-3587
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
81001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81001
COMMERCIAL
TX
05
—
81001
—
TX
Enumeration date
10/05/2022
Last updated
10/05/2022
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