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Contact Information

KESHA R HARRIS HENDERSON, MD
3555 W WHEATLAND RD
DALLAS, TX75237-3461
 Phone: 972-709-2580
 Fax: 972-283-9387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KESHA R HARRIS HENDERSON · (Female)

NPI # 1568401909
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2006
Last updated 12/27/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TX License # L0251
  • TX Medicaid 105095705
  • TX Medicaid 105095706
  • TX Medicaid 105095707
  • TX Other 8R1455 BLUE CROSS OF TEXAS
Hospital affiliation(s) Not Available
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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