Organization
THOMAS HENDERSON MANAGEMENT LLC
Active
Parent organization
THOMAS HENDERSON MD PA
Other names
Eye Clinic Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOMAS HENDERSON MD PA
Authorized official
DR. THOMAS T HENDERSON M.D. (PRESIDENT/ C.E.O.)
(512) 427-1100
Entity
Organization
Contact information
Practice address
3410 FAR WEST BOULEVARD, SUITE 140, AUSTIN, TX 78731-3167
(512) 427-1100
(512) 427-1208
Mailing address
3410 FAR WEST BOULEVARD, SUITE 140, AUSTIN, TX 78731-3167
(512) 427-1100
(512) 427-1208
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612710001
NATIONAL SUPPLIER CLEARIN
TX
Enumeration date
10/06/2006
Last updated
01/28/2014
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