Dana Henderson is a Family in Beaumont, Texas. Dana Henderson practices all healthcare services and medical treatments related to Family. The NPI Number for Dana Henderson is 1508868811. The last update date is 2018-09-18.
Dana Henderson's current location address is 2929 Calder St, Beaumont, Texas. You can contact this provider via phone number 4098339797 and fax number 4096546886. The mailing address for Dana Henderson is 2929 Calder St, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Henderson |
|---|---|
| Address | 2929 Calder St, Beaumont, Texas |
| Phone Number | 4098339797 |
| Fax Number | 4096546886 |
| Sole Proprietor | N |
| Credentials | RN,MSN,CFN |
NPI Number Detail
| NPI Number | 1508868811 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2018-09-18 |
Provider Mailing Address Detail
| Address | 2929 Calder St |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 7770218450 |
| Phone Number | 4098339797 |
| Fax Number | 4096546886 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 571225 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 166952501 | TX | -- |
Post Comment/ Review Below
What is the Dana Henderson's 1508868811?
The Dana Henderson's NPI (National Provider Identifier) Number is 1508868811. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Dana Henderson is located?
The Dana Henderson is situated at the following address: 2929 Calder St, Beaumont, TX, 7770218450.
What is the Dana Henderson's specialty and taxonomy code?
The Dana Henderson's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Dana Henderson receive its 1508868811 assignment from the Centers for Medicare & Medicaid Services?
The Dana Henderson was assigned its 1508868811 by the Centers for Medicare & Medicaid Services on 2005-06-01.
When was the information pertaining to Dana Henderson most recently updated or revised?
The details related to Dana Henderson, including its address, specialty, and other relevant information, were last updated or revised on 2018-09-18.