Deborah B Henderson, MD, PLLC

Primary specialty

Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X

License

N4467 Issued in TX

Legal business name

DEBORAH B HENDERSON, MD, PLLC

Practice address

372 County Road 381
San Antonio, TX 78253-6826

Phone

(817) 705-8505

NPI assigned

Apr 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Deborah Barbara Henderson, MDNPI 1770765265

Title

Owner/Manager

Phone

(817) 705-8505

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah B. Henderson, MD

  • Dermatology Physician
  • Fort Carson, CO
  • NPI 1770765265
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1225329584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 COUNTY ROAD 381",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536826",
            "telephone_number": "817-705-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 COUNTY ROAD 381",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536826",
            "telephone_number": "817-705-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH B HENDERSON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "817-705-8505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "TX",
            "license": "N4467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1770765265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas M Deberardino, MD
• Brittany B Deberry, MD
• Amanda Paige Debner, FNP-BC
• Nayeli A Debolt, PA-C
• Kelly Shawn Deboom, PT
• Deborah Judith Inc (Elite Counseling)
• Deborah Judith Inc. (Elite Counseling)
• Deborah Levi Lane, LCSW, PLLC
• Deborah Loukas, M.S., PLLC
• Deborah M Daily M Ed LPC PLLC

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.