Doctor Name: | ANGEL HENDERSON |
NPI Number: | 1093976110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 7374 Parkridge Blvd #192 Irving, TX - 750638201 |
Business Phone Number: | 9727932974 |
Business Fax Number: | |
Mailing Address: | 7374 Parkridge Blvd, #192 IRVING |
State: | TX |
Postal Code: | 750638201 |
Phone Number: | 9727932974 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2008 |
NPI Last Update Date: | 04/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |