Individual
DR. RUSSELL PATRICK HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 VERRET ST, HOUMA, LA 70360-4637
(985) 876-7388
(985) 876-3378
Mailing address
911 VERRET ST, HOUMA, LA 70360-4637
(985) 876-7388
(985) 876-3378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
012720
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1176885
—
LA
Enumeration date
06/15/2005
Last updated
05/13/2010
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