Provider Demographics
NPI:1508966045
Name:HENRY BARBEE, TERRI DENISE (MD)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:DENISE
Last Name:HENRY BARBEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:DENISE
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:306 W EL NORTE PKWY STE S
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-1960
Mailing Address - Country:US
Mailing Address - Phone:760-291-6700
Mailing Address - Fax:760-746-5313
Practice Address - Street 1:306 W EL NORTE PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-1960
Practice Address - Country:US
Practice Address - Phone:760-291-6700
Practice Address - Fax:760-746-5313
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ49649207Q00000X
CAA69585207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ49649OtherAZ STATE LICENSE
CAA69585OtherMEDICAL LICENSE
CAI68931Medicare UPIN