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Contact Information

HATTIE E HENDERSON, MD
820 E FRONT ST
TYLER, TX75702-8326
 Phone: 903-596-0602
 Fax: 903-596-0620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HATTIE E HENDERSON · (Female)

NPI Number 1407817489
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2006
Last updated 03/16/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • TX License # L5762
  • TX Medicaid 165297602
Hospital affiliation(s)
  • SAN JACINTO METHODIST HOSPITAL - (Acute Care)
    4401 GARTH ROAD
    BAYTOWN, TX 77521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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