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Individual

DR. WILLIAM O HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14245 DEDEAUX RD, GULFPORT, MS 39503-3369
(228) 314-7226
(228) 314-7227
Mailing address
PO BOX 2819, GULFPORT, MS 39505-2819
(228) 314-7226
(228) 314-7227

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08744
MS
174400000X
Specialist
F7484
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10410
MS
05
1906808
LA
05
1995131
TN
05
3504397
MT
05
X9X008188
TX
Enumeration date
02/14/2007
Last updated
03/07/2023
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