| Kinuyo Henderson, DO | |
|
1253 N. Von Minden, La Grange, TX 78945 | |
| (979) 968-8493 | |
| (979) 968-6388 |
| Full Name | Kinuyo Henderson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 1253 N. Von Minden, La Grange, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265843874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R5128 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Methodist San Jacinto Hospital | Baytown, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmh Physician Associates Pllc | 4486711744 | 1766 |
| Entity Name | Tmh Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100 |
| Entity Name | Lgfm Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871153775 PECOS PAC ID: 5395075238 Enrollment ID: O20190919001583 |
| Mailing Address | Practice Location Address |
|---|---|
| Kinuyo Henderson, DO 1253 N. Von Minden, La Grange, TX 78945-1262 Ph: (979) 968-8493 | Kinuyo Henderson, DO 1253 N. Von Minden, La Grange, TX 78945 Ph: (979) 968-8493 |
Hans James Raj, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Amanda Rosenauer, CFNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Dr. Thomas O Borgstedte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Nathan Wallace Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Dr. William M Mcbroom, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Dr. Wess James Blackwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 |