Individual provider · Type 1 NPI

Raven Henderson, MD

Plastic Surgery Physician · Tyler, TX

NPI number 1437415726 Active

Practice location

2140 W Grande Blvd Ste A
Tyler, TX 75703-0563

Fax (270) 216-6827

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	04-40363 (KS)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1437415726

Raven Henderson, MD's National Provider Identifier is 1437415726, issued on Apr 11, 2012. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Tyler, TX. The record was last updated on Jul 5, 2024.