| Brenda Danielle Henson, | |
|
17201 I 45 S, Shenandoah, TX 77385-3311 | |
| (936) 270-2000 | |
| Not Available |
| Full Name | Brenda Danielle Henson |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Medical-surgical |
| Location | 17201 I 45 S, Shenandoah, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073116497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | 872502 (Texas) | Primary |
| Entity Name | Molina Care Connections, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20170427000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Danielle Henson, 21915 Colter Stone Dr, Spring, TX 77388-6935 Ph: (713) 906-4349 | Brenda Danielle Henson, 17201 I 45 S, Shenandoah, TX 77385-3311 Ph: (936) 270-2000 |
Destoni Jones, Registered Nurse Medicare: Medicare Enrolled Practice Location: 150 Pine Forest Dr Ste 110, Shenandoah, TX 77384 Phone: 832-373-4392 | |
Christopher Tom Pigott, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9250 Pinecroft Dr, Shenandoah, TX 77380 Phone: 713-897-2300 | |
Jane Ijeoma Onejeme Ezennaya, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9250 Pinecroft Dr, Shenandoah, TX 77380 Phone: 713-897-2300 | |
Georgia S Woolery, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 17201 I 45 S, Shenandoah, TX 77385 Phone: 281-836-2100 | |
Lauren Carlson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 121 Vision Park Blvd Ste 200, Shenandoah, TX 77384 Phone: 281-725-6767 | |
Eileen S Hubbard, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9200 Pinecroft Dr, Suite 220, Shenandoah, TX 77380 Phone: 281-296-7377 Fax: 281-296-7255 |