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Organization

HOWDY INTERNAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK EDWARD HENNESSY MD (MD)
(830) 393-7771
Entity
Organization

Contact information

Practice address
104 TURNER LN, FLORESVILLE, TX 78114-3171
(830) 393-7771
(830) 393-7775
Mailing address
104 TURNER LN, FLORESVILLE, TX 78114-3171
(830) 393-7771
(830) 393-7775

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9500093
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2215978
MEDICARE
NC
05
89016NE
NC
05
8941696
NC
Enumeration date
06/06/2008
Last updated
09/14/2011
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