Tarah L Henderson-Toderic, DO
Family Medicine in El Paso, TX. Individual provider (NPI-1).
NPI number1669950879
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1669950879
- Entity type
- Individual (NPI-1)
- Name
- Tarah L Henderson-Toderic
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2018
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | W7620 | TX | Yes |
| 207Q00000X | Family Medicine | 0102209788 | VA | |
| 207QS0010X | Family Medicine, Sports Medicine | W7620 | TX | |
| 207Q00000X | Family Medicine | 85873 | GA | |
| 207QS0010X | Family Medicine, Sports Medicine | 2572 | AL |
Other names
- Tarah Henderson (Former Name)
Practice location
2000 Transmountain Rd Ste BEl Paso, TX 79911-3602
Phone 915-215-8400 · Fax 915-612-9254
Mailing address
56-117 Pualalea StKahuku, HI 96731-2052
Phone 808-293-6236
Other practice locations
9849 Kenworthy St
El Paso, TX 79924-4402
El Paso, TX 79924-4402
Phone 915-215-5500 · Fax 915-215-8655
436 Clairmont Ct Ste 100
Colonial Heights, VA 23834-1765
Colonial Heights, VA 23834-1765
Phone 804-526-2121 · Fax 804-504-4634
56-117 Pualalea St
Kahuku, HI 96731-2052
Kahuku, HI 96731-2052
Phone 706-414-4731
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