Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 2725 | TX |
N | 111NR0400X | Rehabilitation Chiropractor | 2725 | TX |
NPI | 1902989890 |
---|---|
Provider Name | Dr. Gail Ann Henry |
First Address | Houston, TX 77096-1018 |
Second Address | Houston, TX 77096-1018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 11/12/2007 |