DR. EUGENE B HENDERSON MD NPI 1679537815

NPI Information

NPI: 1679537815
Provider Name: DR. EUGENE B HENDERSON, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
3801 W 15TH ST
BLDG B, SUITE 320
PLANO, TX
ZIP 75075
Phone: (972) 985-8838
Get Directions

DR. Eugene B Henderson, MD is a cardiovascular disease internal medicine in Plano, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Eugene B Henderson, MD NPI is 1679537815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3801 W 15TH ST
BLDG B, SUITE 320
PLANO, TX
ZIP 75075-737
Phone: (972) 985-8838
Fax: (972) 596-1724

The NPI 1679537815 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 12/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	G3455	TEXAS	Yes
2	207UN0901X	Nuclear Medicine	Nuclear Cardiology	G3455	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C16799	MEDICARE UPIN	TEXAS
2	8F3201	OTHER	TEXAS	BCBS
3	127759207	MEDICAID	TEXAS
4	8513N1	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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