Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | H2455 | TX |
NPI | 1598864126 |
---|---|
Provider Name | Linda Henry |
First Address | Fort Worth, TX 76199-0213 |
Second Address | Fort Worth, TX 76104-2733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 21/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00L42V | BCBSTX GRP PIN (01) | TX |
10028755 | AMERIGROUP PIN (01) | TX |
100912 | SUPERIOR PIN (01) | TX |
114966100 | FIRSTCARE PIN (01) | TX |
132729803 | (05) | TX |
132729805 | (05) | TX |
137283103 | (05) | TX |
137345805 | (05) | TX |
1640357 | FIRSTHEALTH PIN (01) | TX |
1669442042 | GRP NPI NUMBER (01) | |
413462 | PHCS PIN (01) | TX |
4586668 | AETNA PIN (01) | TX |
8417407 | CIGNA PIN (01) | TX |
88V503 | BCBSTX IND PIN (01) | TX |
916974 | UHC PIN (01) | TX |
E02222 | (02) |