Mark S Henderson M D P A in Allen - Surgery
Mark S Henderson M D P A - NPI 1720247794
Mark S Henderson M D P A is a Surgery in Allen, Texas. Mark S Henderson M D P A practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mark S Henderson M D P A is 1720247794. The last update date is 2010-07-15.
Mark S Henderson M D P A's current location address is 1101 Raintree Cir, Allen, Texas. You can contact this provider via phone number 9729083595 and fax number 9729083596. The mailing address for Mark S Henderson M D P A is 1101 Raintree Cir, Allen, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark S Henderson M D P A |
|---|---|
| Address | 1101 Raintree Cir, Allen, Texas |
| Phone Number | 9729083595 |
| Fax Number | 9729083596 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Henderson Shea Mark |
| Credentials | MD |
| Telephone Number | 9729083595 |
NPI Number Detail
| NPI Number | 1720247794 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2010-07-15 |
Provider Mailing Address Detail
| Address | 1101 Raintree Cir |
|---|---|
| City | Allen |
| State | Texas (TX) |
| Post Code | 750134922 |
| Phone Number | 9729083595 |
| Fax Number | 9729083596 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | J4200 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113358901 | TX | -- | |
| 990010000 | TX | RAILROAD MEDICARE | |
| 8BF145 | TX | BCBS |
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What is the Mark S Henderson M D P A's 1720247794?
The Mark S Henderson M D P A's NPI (National Provider Identifier) Number is 1720247794. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark S Henderson M D P A located?
The Mark S Henderson M D P A is located at 1101 Raintree Cir, Allen, TX 750134922.
What is the Mark S Henderson M D P A's specialty and taxonomy code?
The Mark S Henderson M D P A's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720247794 to Mark S Henderson M D P A?
The Mark S Henderson M D P A received its 1720247794 assignment from the Centers for Medicare & Medicaid Services on 2008-06-05.
As of what date was the information regarding Mark S Henderson M D P A, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark S Henderson M D P A, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-07-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY