Individual
COREY WAYNE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11251 FONDREN RD, HOUSTON, TX 77096-5507
(281) 707-7362
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
(254) 724-7603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
653891
TX
363L00000X
Nurse Practitioner
AP135257
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP135257
TX
Other
Enumeration date
12/16/2006
Last updated
08/18/2023
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