Individual
LINDA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4095
(682) 885-7499
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4433
(682) 885-3939
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
H2455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L42V
BCBSTX GRP PIN
TX
01
—
10028755
AMERIGROUP PIN
TX
01
—
100912
SUPERIOR PIN
TX
01
—
114966100
FIRSTCARE PIN
TX
05
—
132729803
—
TX
05
—
132729805
—
TX
05
—
137283103
—
TX
05
—
137345805
—
TX
01
—
1640357
FIRSTHEALTH PIN
TX
01
—
1669442042
GRP NPI NUMBER
—
01
—
413462
PHCS PIN
TX
01
—
4586668
AETNA PIN
TX
01
—
8417407
CIGNA PIN
TX
01
—
88V503
BCBSTX IND PIN
TX
01
—
916974
UHC PIN
TX
Enumeration date
09/21/2006
Last updated
04/21/2016
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