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1861470148
MARK DOUGLAS HENDERSON
FORT SAM HOUSTON, TX
NPI
1861470148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 671885)
Enumeration Date
2006-01-06
Last Update Date
2012-02-02
Business Address
-- MARK DOUGLAS HENDERSON C.R.N.A.
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-8516
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Mailing Address
-- MARK DOUGLAS HENDERSON C.R.N.A.
1443 OSPREY HTS
SAN ANTONIO, TX 78260-6016
Phone number: 830-438-4525
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