| Dr Randall Dale Henderson, DO | |
|
1314 N Brazos St, Whitney, TX 76692-2010 | |
| (254) 694-3621 | |
| (254) 694-7436 |
| Full Name | Dr Randall Dale Henderson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 1314 N Brazos St, Whitney, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700879848 | NPI | - | NPPES |
| 159121604 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L1340 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Family Home Health Care | Whitney, TX | Home health agency |
| Texas Home Health Group Of Waco Llc | Waco, TX | Home health agency |
| Providence Health Center | Waco, TX | Hospital |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | Hospital |
| Goodall Witcher Hospital | Clifton, TX | Hospital |
| Hill Regional Hospital | Hillsboro, TX | Hospital |
| Town Hall Estates Whitney Inc | Whitney, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Randall Henderson, D.o. Pllc | 3274759303 | 5 |
| Entity Name | Randall Henderson, D.o. Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366862310 PECOS PAC ID: 3274759303 Enrollment ID: O20140728000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall Dale Henderson, DO Po Box 2177, Whitney, TX 76692-5177 Ph: (254) 694-3621 | Dr Randall Dale Henderson, DO 1314 N Brazos St, Whitney, TX 76692-2010 Ph: (254) 694-3621 |
Dr. Clayton Pickering, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 202 E Jefferson Ave, Whitney, TX 76692 Phone: 254-694-2221 Fax: 254-694-9978 |