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Individual

CLARA H. HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2548 LILLIAN MILLER PKWY, STE 100, DENTON, TX 76210-7212
(940) 387-7565
(940) 566-0574
Mailing address
2548 LILLIAN MILLER PKWY, STE 100, DENTON, TX 76210-7212
(940) 387-7565
(940) 566-0574

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
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