Jackie Henderson

Individual Active
NPI 1376192823
Physical Disabilities Residential Treatment Facility Dallas, TX

NPI 1376192823 belongs to Jackie Henderson, a physical disabilities residential treatment facility with a practice location in Dallas, TX. The NPI was issued on September 7, 2019, and the record was last updated in NPPES on September 7, 2019.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000X Not listed

Practice location

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

Local context

Active NPPES records list 23 providers with physical disabilities residential treatment facility as the primary taxonomy within 25 miles of this practice location's ZIP code, 4 of them within 10 miles.

The same primary taxonomy is listed by 90 in Texas and 926 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Ms. Jackie D Henderson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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