DAVID HENRY MD NPI 1043201312

NPI Information

David Henry, MD is a geriatric medicine family medicine in Shreveport, LA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. David Henry, MD NPI is 1043201312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7813 YOUREE DR
SHREVEPORT, LA
ZIP 71105-505
Phone: (318) 212-3830
Fax: (318) 212-3835

The CLIA number assigned to this NPI record is 19D0713377 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 12/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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