HENDERSON MEDICAL CLINIC PA NPI 1982827945

NPI Information

HENDERSON MEDICAL CLINIC, PA is a rural health clinic center in Abernathy, TX. HENDERSON MEDICAL CLINIC, PA NPI is 1982827945. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Abernathy Medical Clinic.

The provider's business location address is:

409 8TH ST
ABERNATHY, TX
ZIP 79311-416
Phone: (806) 298-5884
Fax: (806) 298-5889

The provider's authorized official is Bryan L Williams .
The authorized official title is Business Manager and has the following contact phone number (806) 771-1166.

The CLIA number assigned to this NPI record is 45D1071629 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 2/17/2010.

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:

Other Identifiers

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

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