NPI | 1467257212 |
---|---|
Doing Business As | HENDERSON INTERNAL MEDICINE & MED SPA |
Doing Business As | HENDERSON INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | PAIGE HIXSON Owner 725-322-1019 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2025-02-17 |
Last Update Date | 2025-04-04 |