NPI 1477951846

Phillip Henderson, DVM

Practitioner Veterinarian Ponder, TX

Practice location

Address: 601 Shaffner St, Ponder, TX 76259-7002
Phone: (940) 479-2782
Fax: (940) 479-2675

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 3671 (TX)

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Registry record

NPI: 1477951846
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2014
Record last updated: 16 Dec 2014

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.