Provider Demographics
NPI:1811936586
Name:HENDERSON, PATRICIA F (C-FNP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:F
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:C-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14700 FM 2100 RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-9161
Mailing Address - Country:US
Mailing Address - Phone:281-328-2568
Mailing Address - Fax:281-328-2039
Practice Address - Street 1:14700 FM 2100 RD
Practice Address - Street 2:SUITE A
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-9161
Practice Address - Country:US
Practice Address - Phone:281-328-2568
Practice Address - Fax:281-328-2039
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223714363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N7169OtherBCBS
TX8B7924Medicare ID - Type Unspecified
TX8N7169OtherBCBS