Individual provider · Type 1 NPI
Eddie Michael Henderson, PA-C
Medical Physician Assistant · Burnet, TX
NPI number
1801971676
Active
Practice location
101 E Jackson St
Burnet, TX 78611-3101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA03311 (TX) |
| Medical Physician Assistant | 363AM0700X | NM2008-0046 (NM) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1801971676
Eddie Michael Henderson, PA-C's National Provider Identifier is 1801971676, issued on Oct 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Burnet, TX. The record was last updated on Jul 8, 2012.