Individual
MR. HENRY PANIAGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
315 ADDICKS HOWELL RD UNIT 940561, HOUSTON, TX 77094
(305) 972-1002
Mailing address
315 ADDICKS HOWELL RD UNIT 940561, HOUSTON, TX 77094-2323
(305) 972-1002
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00477
TX
363AS0400X
Surgical Physician Assistant
Primary
SA00477
TX
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00477
TEXAS MEDICAL BOARD
TX
Enumeration date
03/27/2007
Last updated
10/28/2023
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