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DEBORAH B HENDERSON MD PLLC NPI 1225329584


NPI Information

NPI: 1225329584
Provider Name: DEBORAH B HENDERSON, MD, PLLC
Classification: Dermatology - 207NI0002X
Entity Type: Organization

Specialization: Clinical & Laboratory Dermatological Immunology

Address:
372 COUNTY ROAD 381
SAN ANTONIO, TX
ZIP 78253
Phone: (817) 705-8505
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DEBORAH B HENDERSON, MD, PLLC is a clinical and laboratory dermatological immunology dermatology in San Antonio, TX. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. DEBORAH B HENDERSON, MD, PLLC NPI is 1225329584. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

372 COUNTY ROAD 381
SAN ANTONIO, TX
ZIP 78253-826
Phone: (817) 705-8505

The provider's authorized official is Deborah Barbara Henderson .
The authorized official title is Owner/manager and has the following contact phone number (817) 705-8505.

The enumeration date for this NPI number is 4/21/2011 and was last updated on 4/21/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyN4467TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11770765265OTHERNPI INDIVIDUAL

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: 4/28/2024

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