Active NPI
Mary Elizabeth Henshaw, PA-C
- Physician Assistant
- Dallas, TX
National Provider Identifier
1386886513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06174
- Practice address
- 7979 W Virginia Dr
Dallas, TX 75237-3798 - Phone
- (972) 780-8400
- Fax
- (972) 296-0105
- NPI assigned
- Apr 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06174 | TX | Primary |
Addresses
Primary practice location
7979 W Virginia Dr
Dallas, TX 75237-3798
Mailing address
3400 W Wheatland Rd
Pav III Ste#360
Dallas, TX 75237-4418
Phone (214) 884-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA06174 | TX | MD | Physician Assistant |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1386886513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W WHEATLAND RD",
"address_2": "PAV III STE#360",
"city": "DALLAS",
"state": "TX",
"postal_code": "752374418",
"telephone_number": "214-884-4700",
"fax_number": "214-884-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7979 W VIRGINIA DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373798",
"telephone_number": "972-780-8400",
"fax_number": "972-296-0105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSHAW",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-02",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.