Individual
DR. CLYDE HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 KNICKERBOCKER RD, WILLIAMS FAMILY CENTER, SAN ANGELO, TX 76904-7610
(325) 245-4000
Mailing address
3501 KNICKERBOCKER RD, WILLIAMS FAMILY CENTER, SAN ANGELO, TX 76904-7610
(325) 245-4000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E4399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117683604
—
TX
01
—
8U8630
BLUE CROSS
TX
Enumeration date
04/06/2006
Last updated
06/05/2012
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