Provider Demographics
NPI:1518931104
Name:BATJER, HENRY HUNTINGTON III (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:HUNTINGTON
Last Name:BATJER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-645-2300
Mailing Address - Fax:214-645-2301
Practice Address - Street 1:5303 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9167
Practice Address - Country:US
Practice Address - Phone:214-645-2300
Practice Address - Fax:214-645-2301
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036091382207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
C13253Medicare UPIN