Individual
MISS KATHERINE MARGARET THERESA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2010 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-6514
(817) 893-9200
(817) 893-9300
Mailing address
2010 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-6514
(817) 893-9200
(817) 893-9300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1067008
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1067008
TX
Other
Enumeration date
07/20/2022
Last updated
01/24/2023
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