Individual
DR. AMY DEARIXON HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6380 N NAVARRO ST, VICTORIA, TX 77904-1721
(361) 570-2010
(361) 570-2012
Mailing address
6380 N NAVARRO ST, VICTORIA, TX 77904-1721
(361) 570-2010
(361) 570-2012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5649T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5649T
TEXAS OPTOMETRY LICENSE
TX
01
—
8210SQ
BCBS OF TEXAS
TX
Enumeration date
09/11/2006
Last updated
03/08/2012
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