Provider Demographics
NPI:1629277884
Name:BARBARA TRIPLETT HENDERSON
Entity Type:Organization
Organization Name:BARBARA TRIPLETT HENDERSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:TRIPLETT
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-437-0132
Mailing Address - Street 1:7019 DICKSON WAY
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2506
Mailing Address - Country:US
Mailing Address - Phone:281-437-0132
Mailing Address - Fax:281-437-5724
Practice Address - Street 1:7019 DICKSON WAY
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2506
Practice Address - Country:US
Practice Address - Phone:281-437-0132
Practice Address - Fax:281-437-5724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty