NPI 1376192823

Jackie D Henderson

Practitioner Physical Disabilities Residential Treatment Facility Dallas, TX

Practice location

Address: 7041 Hedgebrook Dr, Dallas, TX 75249
Phone: (972) 822-8115

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Texas →

Registry record

NPI: 1376192823
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2019
Record last updated: 7 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.