Individual
DR. JOE B HENRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3995 STERLINGTON RD., MONROE, LA 71203
(318) 329-9447
(318) 329-9429
Mailing address
3995 STERLINGTON RD., MONROE, LA 71203
(318) 329-9447
(318) 329-9429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
203650
LA
207Q00000X
Family Medicine Physician
Primary
BP10028374
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10028374
BASIC PERMIT
TX
Enumeration date
09/20/2007
Last updated
12/03/2012
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