Individual
DR. JOSE G HENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5460 PAREDES LINE RD, STE 209, BROWNSVILLE, TX 78526-9741
(956) 541-4849
(956) 982-1629
Mailing address
PO BOX 3536, BROWNSVILLE, TX 78523-3536
(956) 541-4849
(956) 982-1629
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1613P
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154530301
—
TX
01
—
62JN
BCBS
TX
Enumeration date
10/12/2006
Last updated
04/21/2017
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