Individual
HERMAN LANIER HENKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 450-9000
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP134414
TX
367500000X
Certified Registered Nurse Anesthetist
AP60240770
WA
367500000X
Certified Registered Nurse Anesthetist
RN60240769
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381209101
—
TX
01
—
381209102
CSHCN
TX
Enumeration date
02/24/2011
Last updated
04/24/2018
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