Organization
LORENE HENRY MD, PLLC
Active
Organization
LORENE HENRY MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENE HENRY M.D. (OWNER)
(979) 696-5883
Entity
Organization
Contact information
Practice address
1721 BIRMINGHAM DR, SUITE 208, COLLEGE STATION, TX 77845-4082
(979) 696-5883
(979) 696-6596
Mailing address
1721 BIRMINGHAM DR, SUITE 208, COLLEGE STATION, TX 77845-4082
(979) 696-5883
(979) 696-6596
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
G5165
TX
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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