Henderson, Diana H

Henderson, Diana H is an individual health care provider with primary practice located at 4775 Hamilton Wolfe Rd Ste 1 , San Antonio TX 78229-3456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Henderson, Diana H can be contacted via phone (210) 616-0283.

Contact Information

Primary practice address
4775 Hamilton Wolfe Rd Ste 1 San Antonio TX 78229-3456
Phone: (210) 616-0283
Fax: (210) 616-0071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X H6284 Texas

Profile Details

NPI number 1083615884
LBN Legal business name Henderson, Diana H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Dec 27th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083615884 NPPES
Texas MEDICAID 133549901

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