Individual
CLARA H. HENRY
Active
Individual
CLARA H. HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F7778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00MB67
BLUE CROSS IDENTIFIER
TX
Enumeration date
10/06/2005
Last updated
05/08/2013
Update your record
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