Victoria Minh-Phuong Henderson, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

16257 Issued in TX

Practice address

200 Lee Morrison LN
Bryan, TX 77807-7111

Phone

(979) 779-1633

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1487063467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LEE MORRISON LN",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778077111",
            "telephone_number": "979-779-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LEE MORRISON LN",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778077111",
            "telephone_number": "979-779-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "VICTORIA",
        "middle_name": "MINH-PHUONG",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Angels Durable Medical Supplies
• Kayce Denise Hedrick, D.P.T.
• Hannah Helm, PA-C
• Ruth Anne Helpert-Nunez, LCSW, LMFT
• Katherine Fischer Henderson
• Latonya Hendricks, LPC, LSOTP
• Jeremy Robert Hendrickson, APRN
• Chalice Henry, PTA
• Melanie Hensley, DVM
• Laura K. Henthorn, FNP

• Dentist in Bryan, TX
• Providers in Bryan, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.