Dr John M Henderson, MD | |
1636 Hunters Glen Rd, San Angelo, TX 76901-5008 | |
(325) 949-5722 | |
(325) 947-2054 |
Full Name | Dr John M Henderson |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1636 Hunters Glen Rd, San Angelo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356452395 | NPI | - | NPPES |
216481603 | Medicaid | TX | |
8DP652 | Other | TX | BCBS TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | D4150 (Texas) | Primary |
2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | D4150 (Texas) | Secondary |
Entity Name | State Of South Dakota |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124027586 PECOS PAC ID: 9032007679 Enrollment ID: O20040305001082 |
Mailing Address | Practice Location Address |
---|---|
Dr John M Henderson, MD 1400 W Trenton Rd, Edinburg, TX 78539-3413 Ph: (956) 388-2207 | Dr John M Henderson, MD 1636 Hunters Glen Rd, San Angelo, TX 76901-5008 Ph: (325) 949-5722 |
Dr. John Haskel Snuggs, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 421 W Concho Ave, San Angelo, TX 76903 Phone: 325-224-4900 Fax: 325-224-4949 | |
John Dale Crowley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1636 Hunters Glen Rd, San Angelo, TX 76901 Phone: 325-949-5722 Fax: 325-947-2054 | |
Dr. Ralph Gail Hodges, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1636 Hunters Glen Rd, San Angelo, TX 76901 Phone: 325-949-5722 Fax: 325-942-1482 | |
Edward Earl Icaza, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-481-2193 | |
Dr. Raymond C Mays, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1636 Hunters Glen Rd, San Angelo, TX 76901 Phone: 325-949-5722 Fax: 325-949-0003 | |
Allister Kelly Morris Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 904 W Avenue D Apt D, San Angelo, TX 76903 Phone: 325-234-8000 | |
Dr. Rebecca Crenshaw, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3555 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555 |