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Individual
TRAVIS SCOTT HENRY
Active
Individual
TRAVIS SCOTT HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L0819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370751-01
—
TX
05
—
0370751-02
—
TX
05
—
037075103
—
TX
01
—
81834S
BCBS
TX
01
—
8BR077
BCBS
TX
01
—
8V7015
BCBS
TX
Enumeration date
06/30/2006
Last updated
07/09/2009
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