Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACKIE D HENDERSON
Active Sole ProprietorMS. JACKIE D HENDERSON is a Physical Disabilities Residential Treatment Facility healthcare provider located in DALLAS, Texas. NPI 1376192823 is currently active in the NPPES registry. Verify at CMS.
Physical Disabilities Residential Treatment Facility · DALLAS, TX
Registration Details
- NPI Number
- 1376192823
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 7, 2019 (6.7519071679021 yrs)
- Last Updated
- Sep 7, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
7041 HEDGEBROOK DRDALLAS, TX, 75249Browse TX providers · Browse ZIP 75249
- Phone
- 9728228115
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
Other Physical Disabilities Residential Treatment Facility Providers in DALLAS, TX
| Name | Credential | NPI |
|---|---|---|
| YAN PING CHANG | PTA | 1053511139 |
| MS. LETITIA SHEVON GARRETT | — | 1932893013 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.