Individual
DR. HENRY LYSELL POLK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8550 HUEBNER RD, SAN ANTONIO, TX 78240-1803
(210) 541-5300
Mailing address
17503 LACANTERA PARKWAY, 104 BOX 485, SAN ANTONIO, TX 78257-8207
(210) 495-3627
(210) 491-3581
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M7529
TX
Other
Enumeration date
01/10/2006
Last updated
02/10/2016
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