Individual
CHARLES ANTHONY HENRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0150
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
16596
TX
Other
Enumeration date
10/31/2022
Last updated
04/04/2023
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