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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HATTIE E HENDERSON, M.D.

Active

HATTIE E HENDERSON, M.D. is a Geriatric Medicine healthcare provider located in TYLER, Texas. NPI 1407817489 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · TYLER, TX

Registration Details

NPI Number
1407817489
Provider Type
Individual
Gender
Female
NPI Issued
Mar 30, 2006 (20.367270587606 yrs)
Last Updated
Mar 27, 2018
Licenses
L5762 (TX)
L5762 (TX)

Practice Information

Address
820 E FRONT ST
TYLER, TX, 757028326
Browse TX providers · Browse ZIP 75702
Phone
9035960602
Fax
9035960620
Primary Specialty
Geriatric Medicine
207QG0300X
Additional Specialty
Geriatric Medicine
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.