Individual
THOMAS W HENIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052
(214) 506-2610
Mailing address
4835 LBJ FWY, DALLAS, TX 75244-6005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01042775A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000586622
ANTHEM PROVIDER NUMBER FOR ARNETT CLINIC, LLC
IN
05
—
200028480
—
IN
Enumeration date
07/17/2006
Last updated
07/23/2018
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