Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carter Henderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568204113

Carter Henderson is a Student in an Organized Health Care Education/Training Program in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024
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Practice location Address checks out

1301 Clinic Dr
Tyler, TX 75701-2120
Phone: (903) 592-8115
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 40425 (TX)

Record details

NPI number1568204113
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address1301 Clinic Dr, Tyler, TX 75701-2120

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