Provider Demographics
NPI:1760639645
Name:FRANK J. HENRY
Entity Type:Organization
Organization Name:FRANK J. HENRY
Other - Org Name:THE FOOT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
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:2008-08-22
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0720213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0087STOtherBCBSTX
TX80H001OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX80H001OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX4914080001Medicare NSC
TX0087STOtherBCBSTX