Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | OS11121 | FL |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | OS11121 | FL |
NPI | 1891864666 |
---|---|
Provider Name | Dr. Eric L Hensen |
First Address | Palestine, TX 75801-4780 |
Second Address | Palestine, TX 75801-4780 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 19/12/2018 |