Individual
MS. TAMARA A HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
411 E 45TH ST, AUSTIN, TX 78751-3830
(512) 451-5726
Mailing address
411 E 45TH ST, AUSTIN, TX 78751-3830
(512) 451-5726
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001190
TX
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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