Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | 261157 | NY |
N | 207R00000X | Internist | BP10031166 | TX |
N | 111NI0900X | Internist | BP10031166 | TX |
NPI | 1154569275 |
---|---|
Provider Name | Dr. Michelle Fern Henry |
First Address | Houston, TX 77030-4211 |
Second Address | New York, NY 10075-0385 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2009 |
Last Update Date | 12/07/2013 |