Provider Demographics
NPI:1508457649
Name:FRANK J. HENRY DPM
Entity Type:Organization
Organization Name:FRANK J. HENRY DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRONT DESK/BILLING
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BRISSETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-576-2111
Mailing Address - Street 1:909 N NAVARRO ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-6734
Mailing Address - Country:US
Mailing Address - Phone:361-576-2111
Mailing Address - Fax:361-576-6578
Practice Address - Street 1:909 N NAVARRO ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-6734
Practice Address - Country:US
Practice Address - Phone:361-576-2111
Practice Address - Fax:361-576-6578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty