Provider Demographics
NPI:1316562671
Name:THOMAS B. HENRY, MD PLC
Entity Type:Organization
Organization Name:THOMAS B. HENRY, MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST / OWNER-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:BASIL
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-529-3605
Mailing Address - Street 1:1641 S MILFORD RD STE A101
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-4887
Mailing Address - Country:US
Mailing Address - Phone:248-529-3605
Mailing Address - Fax:
Practice Address - Street 1:1641 S MILFORD RD STE A101
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357-4887
Practice Address - Country:US
Practice Address - Phone:248-529-3605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty