Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A68936 | CA |
Y | 208600000X | Surgeon | A68936 | CA |
N | 2082S0105X | Plastic Hand Surgeon | M1755 | TX |
NPI | 1932149135 |
---|---|
Provider Name | Dr. Ginard Irwyn Henry |
First Address | San Antonio, TX 78229-2379 |
Second Address | Chicago, IL 60637-1447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 25/10/2012 |