Hattie E Henderson in Tyler - Geriatric Medicine
Hattie E Henderson - NPI 1407817489
Hattie E Henderson is a Geriatric Medicine in Tyler, Texas. Hattie E Henderson practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Hattie E Henderson is 1407817489. The last update date is 2018-03-27.
Hattie E Henderson's current location address is 820 E Front St, Tyler, Texas. You can contact this provider via phone number 9035960602 and fax number 9035960620. The mailing address for Hattie E Henderson is 820 E Front St, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hattie E Henderson |
|---|---|
| Address | 820 E Front St, Tyler, Texas |
| Phone Number | 9035960602 |
| Fax Number | 9035960620 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407817489 |
|---|---|
| Provider Enumeration Date | 2006-03-30 |
| Last Updated Date | 2018-03-27 |
Provider Mailing Address Detail
| Address | 820 E Front St |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757028326 |
| Phone Number | 9035960602 |
| Fax Number | 9035960620 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | L5762 |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 165297602 | TX | -- |
Post Comment/ Review Below
What is the Hattie E Henderson's unique identification number?
The Hattie E Henderson has been assigned the NPI (National Provider Identifier) Number 1407817489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Hattie E Henderson is geographically located?
The Hattie E Henderson is physically situated at the following location: 820 E Front St, Tyler, TX, 757028326.
What is Hattie E Henderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Hattie E Henderson's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407817489 to Hattie E Henderson?
The Centers for Medicare & Medicaid Services originally issued the 1407817489 to Hattie E Henderson on 2006-03-30.
When was the information regarding Hattie E Henderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Hattie E Henderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-27.
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