| NPI | 1700661980 |
|---|---|
| Doing Business As | HENDERSON HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | ANGEL HENDERSON Owner 606-619-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |