Organization
JACK H. HENRY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAY P GARRISON (COORDINATOR, MANAGED CARE)
(806) 785-7676
Entity
Organization
Contact information
Practice address
4004 82ND ST, LUBBOCK, TX 79423-1900
(806) 792-5500
(806) 722-3103
Mailing address
PO BOX 16585, LUBBOCK, TX 79490-6585
(806) 785-2045
(806) 785-0872
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D1880
TX
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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