Provider Demographics
NPI:1467404756
Name:HENRY, FRANK JAMES (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JAMES
Last Name:HENRY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 N US HIGHWAY 281 STE 201
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-5167
Mailing Address - Country:US
Mailing Address - Phone:830-265-6000
Mailing Address - Fax:
Practice Address - Street 1:703 N US HIGHWAY 281 STE 201
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5167
Practice Address - Country:US
Practice Address - Phone:830-265-6000
Practice Address - Fax:830-581-0005
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDP0720213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80H001OtherBLUE CROSS BLUE SHIELD OF TEXAS
T13796Medicare UPIN
TX614302Medicare PIN