Provider Demographics
NPI:1710938758
Name:HENRY, MARK H (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:H
Last Name:HENRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1200 BINZ ST
Mailing Address - Street 2:SUITE 1390
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6900
Mailing Address - Country:US
Mailing Address - Phone:713-333-4477
Mailing Address - Fax:713-333-4478
Practice Address - Street 1:1200 BINZ ST
Practice Address - Street 2:SUITE 1390
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6900
Practice Address - Country:US
Practice Address - Phone:713-333-4477
Practice Address - Fax:713-333-4478
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2008-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK3231207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG76812Medicare UPIN