Individual
NICOLE DANEEL HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 795-8100
Mailing address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 523-3642
(956) 718-6294
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P1184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1184
TEXAS MEDICAL LICENSE
TX
Enumeration date
07/12/2007
Last updated
12/04/2019
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