Provider Demographics
NPI:1073823860
Name:HENRY R ARMSTRONG MD PA
Entity Type:Organization
Organization Name:HENRY R ARMSTRONG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-946-5700
Mailing Address - Street 1:302 W 9TH ST
Mailing Address - Street 2:STE H
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4809
Mailing Address - Country:US
Mailing Address - Phone:214-946-5700
Mailing Address - Fax:
Practice Address - Street 1:302 W 9TH ST
Practice Address - Street 2:STE H
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4809
Practice Address - Country:US
Practice Address - Phone:214-946-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4795261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137478708Medicaid
TXOODN12Medicare PIN
TX137478708Medicaid