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Dr. Bennett Ellen Hargrove Henderson, MD
Obstetrics & Gynecology Physician in Lubbock, Texas
NPI 1043658677

Bennett Ellen Hargrove Henderson is a Obstetrics & Gynecology Physician based in Lubbock, TX. Bennett Ellen Hargrove Henderson practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Bennett Ellen Hargrove Henderson is 1043658677 and holds a License No. (Texas).

The current practice location address for Bennett Ellen Hargrove Henderson is 4102 24Th St Ste 406, Lubbock, TX and can be reached out via phone at 806-725-5790 and via fax at 806-725-5791.

Location: 4102 24Th St Ste 406, Lubbock, TX, 79410-1105
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Provider Profile Details
NPI Number
1043658677
Provider Name
Bennett Ellen Hargrove Henderson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4102 24Th St Ste 406, Lubbock, TX, 79410-1105
Phone Number
806-725-5790
Fax Number
806-725-5791
Provider Enumeration Date
06/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8GX035 01 TX BCBS TX
582317YKT8 01 TX TX MEDICARE
373353701 05 TX
1043658677 01 NM BCBS NM CENTENNIAL
44159340 05 NM
1043658677 01 TX FIRSTCARE
institution
Provider Business Practice Location Address Details
Address
4102 24Th St Ste 406
City
State
Zip
79410-1804
Phone Number
806-725-5790
Fax Number
806-725-5791
person
Provider Business Mailing Address Details
Address
4102 24Th St Ste 406
City
State
Zip
79410-1804
Phone Number
806-725-5790
Fax Number
806-725-5791
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
Q9635 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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