| 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 |
Jessica Jean-baptiste Singleton, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 116 Herff Rd Ste 111, Boerne, TX 78006 Phone: 830-816-5055 |
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 |