Provider Demographics
NPI:1275604837
Name:HENDERSON, JAMES H II (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:HENDERSON
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:11130 CHRISTUS HILLS
Mailing Address - Street 2:2ND FLOOR, SUITE 201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3584
Mailing Address - Country:US
Mailing Address - Phone:210-703-9001
Mailing Address - Fax:210-703-9155
Practice Address - Street 1:11130 CHRISTUS HILLS
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-703-9001
Practice Address - Fax:210-703-9155
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2022-04-22
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Provider Licenses
StateLicense IDTaxonomies
TX35684207RC0200X, 207RP1001X, 207RS0012X
TXN7623207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2874612-01Medicaid
TX2874612-02OtherMEDICAID CSHCN
TXTXB142691Medicare PIN