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Individual

DR. BARRY J HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 494-4900
(337) 494-4947
Mailing address
PO BOX 122165 DEPT 2165, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13483R
LA
207X00000X
Orthopaedic Surgery Physician
K1214
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09-00384
UHC #
LA
01
13483R
LA STATE LICENSE #
LA
05
1428141
LA
01
K1214
TX STATE LICENSE #
TX
Enumeration date
07/06/2005
Last updated
03/08/2024
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