PHILLIP HENDERSON (NPI# 1477951846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477951846 |
| Entity Type | Individual |
| Full Name | PHILLIP HENDERSON |
| Credential | DVM |
| Practice Address |
601 Shaffner St Ponder TX 76259-7002 |
| Practice Telephone | 9404792782 |
| Practice Fax Number | 9404792675 |
| Mailing Telephone | 9404792782 |
| Mailing Fax Number | 9404792675 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 3671 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073764072 | Phillip Lynn Henderson | Hearing Instrument Specialist | 1411 Lemay Dr Ste 403, Carrollton, TX 75007-4924 | 2008-10-08 |
| 1144450792 | Phillip Henderson | Internal Medicine | 75 S University Blvd, Ucom 6000b, Mobile, AL 36688-0002 | 2009-07-16 |
| Street Address |
601 SHAFFNER ST |
| City | PONDER |
| State | TX |
| Zip Code | 76259-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659797934 | Robert Francis Dowden | Pharmacist | 250 Fm 2449, Ponder, TX 76259 | 2014-03-11 |
| 1073892220 | Tyler Preston Myser | Dentist | 264 E Fm 2449, Ponder, TX 76259 | 2011-08-05 |
| 1114343480 | Greenbriar Pharmacy Lp | Pharmacy | 250 Fm 2449, Ponder, TX 76259 | 2014-03-11 |
| 1497898878 | Ponder Isd | Local Education Agency (LEA) | 400 West Bailey St, Ponder, TX 76259-0278 | 2007-02-15 |
| 1255461166 | Marie Carnevale Bond | Specialist/Technologist | 597 Holiday Dr, Ponder, TX 76259-4406 | 2007-03-07 |
| 1043714314 | Tabitha Wanjiru Wachira I | Licensed Vocational Nurse | 12960 N County Line Rd, Ponder, TX 76259-5149 | 2018-03-21 |
| 1659906295 | Tresa Elaine Howard | Licensed Vocational Nurse | 5972 Schluter Rd, Ponder, TX 76259-5437 | 2020-03-04 |
| 1548318074 | Kris Ann Tottori | Physical Therapist | 9204 T N Skiles Rd, Ponder, TX 76259-5819 | 2007-01-08 |
| 1982806634 | Reata Rehabilitation | Clinic/Center | 9204 T N Skiles Rd, Ponder, TX 76259-5819 | 2007-06-04 |
| 1831219427 | Rebecca Linn Glaser | Occupational Therapist | 9204 T N Skiles Rd, Ponder, TX 76259-5819 | 2007-03-29 |
| Find all providers in zip 76259 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720458250 | Melanie Hensley | Veterinarian | 13688 S State Highway 6, Bryan, TX 77807-4209 | 2015-09-26 |
| 1235508565 | Bonnie Jean Kemnitz | Veterinarian | 2900 Tx-95 North, Bastrop, TX 78602 | 2015-09-16 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1912382003 | David Alan Roush | Veterinarian | 203 Old Brandon Road, Hillsboro, TX 76645 | 2015-07-30 |
| 1407237225 | Tracy Tommack | Veterinarian | 2250 Thousand Oaks Dr Ste 102, San Antonio, TX 78232-3968 | 2015-06-17 |
| 1639560535 | Tristan Lee | Veterinarian | 6800 E Highway 67, Alvarado, TX 76009-6857 | 2015-02-12 |
| 1073903027 | Ingrid Feder | Veterinarian | 3022 Northpark Dr, Kingwood, TX 77339-5114 | 2015-01-29 |
| 1972901361 | Michael Jones | Veterinarian | 1404 Ne Big Bend Trl, Glen Rose, TX 76043-5020 | 2014-12-17 |
| 1174921548 | Julie Stanek | Veterinarian | 145 E Centerville Rd, Garland, TX 75041-4633 | 2014-12-16 |
| 1659779163 | Lori Teller | Veterinarian | 4995 W Bellfort St, Houston, TX 77035-3201 | 2014-12-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.