Provider Demographics
NPI:1831245893
Name:HENDERSON, DAVID L (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:HENDERSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5910 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 790
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5125
Mailing Address - Country:US
Mailing Address - Phone:469-620-1410
Mailing Address - Fax:469-522-3690
Practice Address - Street 1:5910 N CENTRAL EXPY
Practice Address - Street 2:SUITE 790
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5125
Practice Address - Country:US
Practice Address - Phone:469-620-1410
Practice Address - Fax:469-522-3690
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2016-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC270662084P0800X
TXN00882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry