Randall D Henderson DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L1340 Issued in TX

Legal business name

RANDALL D HENDERSON DO PA

Practice address

202 E Jefferson Ave
Whitney, TX 76692-2398

Phone

(254) 694-2221

Fax

(254) 694-9978

NPI assigned

Jan 17, 2008

Last updated

Jun 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda J Hall

Title

Business Office Manager

Phone

(254) 694-2221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1871779090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E JEFFERSON AVE",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766922398",
            "telephone_number": "254-694-2221",
            "fax_number": "254-694-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E JEFFERSON AVE",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766922398",
            "telephone_number": "254-694-2221",
            "fax_number": "254-694-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL D HENDERSON DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "254-694-2221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Marie Fahey Phillips
• Clayton Pickering, DO
• Gina Pierce
• Aaron Prasifka
• Pyramid Healthcare Corp (Park Plaza Nursing Home)
• Randall Henderson, D.O. PLLC (Whitney Family Medicine)
• Anita Nicole Reynolds, RN
• RH Terrell Home Health LLC
• Rick E Cofer DDS PA
• Rinity Inc (Whitney Medical Family Health)

• Family Medicine Physician in Whitney, TX
• Providers in Whitney, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.