Dr. Jack Henry
Orthopaedic Surgeon
4004 82nd St
Lubbock
, Texas 79423-1900
Dr. Jack Henry
Orthopaedic Surgeon
4004 82nd St
Lubbock
, Texas 79423-1900
(806) 722-3100
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jack Henry
- 4004 82nd St
- Lubbock, TX
- Zip : 79423-1900
- Phone : (806) 722-3100
Second Address
- Dr. Jack Henry
- 4004 82nd St
- Lubbock, TX
- Zip : 79423-1900
- Phone : (806) 722-3100
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | D1880 | TX |
National Provider Identifier
| NPI | 1023080652 |
|---|---|
| Provider Name | Dr. Jack Henry |
| First Address | Lubbock, TX 79423-1900 |
| Second Address | Lubbock, TX 79423-1900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 28/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 048641703 | (05) | TX |
| 099944301 | (05) | TX |
| C16823 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.