Provider Demographics
NPI:1891831780
Name:TSCHIRHART, HENRY LEE (HIS)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:LEE
Last Name:TSCHIRHART
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4449 S ALAMEDA ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-2465
Mailing Address - Country:US
Mailing Address - Phone:361-992-8032
Mailing Address - Fax:361-992-4132
Practice Address - Street 1:4449 S ALAMEDA ST STE 2
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-2465
Practice Address - Country:US
Practice Address - Phone:361-992-8032
Practice Address - Fax:361-992-4132
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50597237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX528191OtherBCBS OF TEXAS