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Individual
COREY WAYNE HENRY
Active
Individual
COREY WAYNE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
653891
TX
363L00000X
Nurse Practitioner
AP135257
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP135257
TX
Other
Enumeration date
12/16/2006
Last updated
08/18/2023
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