Provider Demographics
NPI:1851355838
Name:NORTMAN, HENRI ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRI
Middle Name:ANN
Last Name:NORTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 AVENUE F N
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-3167
Mailing Address - Country:US
Mailing Address - Phone:979-245-2008
Mailing Address - Fax:979-314-7164
Practice Address - Street 1:2112 REGIONAL MEDICAL DR STE 1315
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-1413
Practice Address - Country:US
Practice Address - Phone:979-245-2008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4833208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152209606Medicaid
TX8DE541OtherBC/BS #
TX370021882OtherRAILROAD GBA - RAILROAD MEDICARE
TX152209603Medicaid
TX8G6210OtherBC/BS TX#
TX8G6210OtherBC/BS TX#
TX152209601Medicaid
TXH66059Medicare UPIN