Marcellus Perris Henderson

Case Manager/Care Coordinator · Waskom, TX

Individual Active NPI

NPI number 1265925424

Practice location

725 W Texas Ave Apt 4031
Waskom, TX 75692-9516
Phone
(318) 861-8938

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NPI record

NPI
1265925424
Entity type
Individual (Type 1)
Enumeration date
June 12, 2018
Last updated
June 12, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

9403 Mansfield Rd
Shreveport, LA 71118-3815
Phone
(318) 861-8938
Fax
(318) 862-3554

About Marcellus Henderson

Marcellus Perris Henderson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 725 W Texas Ave Apt 4031, Waskom, TX 75692-9516. The NPI number 1265925424 was assigned on June 12, 2018 and the record was last updated on June 12, 2018.

Frequently asked questions

What is the NPI number of Marcellus Perris Henderson?

The NPI number is 1265925424.

What is the phone number of Marcellus Henderson?

The phone number listed for the practice location is (318) 861-8938.

Where is Marcellus Henderson located?

725 W Texas Ave Apt 4031, Waskom, TX 75692-9516.

What is the taxonomy code for Marcellus Henderson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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