| Jeffrey Mark Henderson, MD | |
|
430 W Bandera Rd Ste 9, Boerne, TX 78006-2521 | |
| (830) 249-1717 | |
| (830) 816-2103 |
| Full Name | Jeffrey Mark Henderson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 430 W Bandera Rd Ste 9, Boerne, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912988007 | NPI | - | NPPES |
| 185711202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | L 9240 (Texas) | Primary |
| Entity Name | Barrio Comprehensive Family Health Care Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902883739 PECOS PAC ID: 1153226691 Enrollment ID: O20040130000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Mark Henderson, MD 3066 E Commerce St, San Antonio, TX 78220-1013 Ph: (210) 233-7062 | Jeffrey Mark Henderson, MD 430 W Bandera Rd Ste 9, Boerne, TX 78006-2521 Ph: (830) 249-1717 |
Dr. Rachel Aubrey Gravel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 124 E Bandera Rd, Suite 304, Boerne, TX 78006 Phone: 830-816-5055 Fax: 830-816-5056 | |
Christopher Thomas Nelson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 124 E Bandera Rd Ste 304, Boerne, TX 78006 Phone: 830-816-5055 | |
Jennifer Lauren Eck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 430 W Bandera Rd Ste 9, Boerne, TX 78006 Phone: 830-816-1717 Fax: 830-816-2103 | |
Dr. Vincent N. Coleman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 430 W Bandera Rd, Ste 9, Boerne, TX 78006 Phone: 830-249-1717 Fax: 830-816-2103 | |
Shalini Boggarapu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 138 Old San Antonio Rd Ste 101, Boerne, TX 78006 Phone: 830-355-2343 Fax: 830-268-8711 | |
Cheryl Ann Trexler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 430 W Bandera Rd, Ste., 9, Boerne, TX 78006 Phone: 830-249-1717 Fax: 830-816-2103 | |
Heather R. Riebel, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 34910 Interstate 10 W Ste 501, Boerne, TX 78006 Phone: 830-484-6111 Fax: 830-331-9806 |