Individual
MR. JAMES A HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CLARKSVILLE MEDICAL GROUP, PA, 601 W MCKENNON ST, CLARKSVILLE, AR 72830
(479) 754-8384
(479) 754-7141
Mailing address
PO BOX 668, CLARKSVILLE, AR 72830
(479) 754-8384
(479) 754-7141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E16699
AR
207Q00000X
Family Medicine Physician
S8045
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2019
Last updated
09/18/2023
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