JOHNNY LEE HENRY, M.D.,P.A. (NPI# 1497010730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497010730 |
| Entity Type | Organization |
| Organization Name | JOHNNY LEE HENRY, M.D.,P.A. |
| Practice Address |
8200 Brookriver Dr Suite N-512 Dallas TX 75247-4069 |
| Practice Telephone | 2146312653 |
| Practice Fax Number | 2146379063 |
| Mailing Telephone | 2146312653 |
| Mailing Fax Number | 2146379063 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |
| Authorized Official Name | MS. RENEE CASELLA (OFFICE MANAGER) |
| Authorized Official Telephone | 2146312653 |
| Authorized Official Credential | PHYSICIAN ASSIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | E0974 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 032327101 | 05 |
| Street Address |
8200 BROOKRIVER DR SUITE N-512 |
| City | DALLAS |
| State | TX |
| Zip Code | 75247-4069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285613455 | Pt Home Services of Dallas, Inc | Home Health | 8200 Brookriver Dr, #n503, Dallas, TX 75247-4069 | 2006-01-16 |
| 1952789729 | Raymond C. Blackburn, M.d. | Dermatology | 8200 Brookriver Dr, Suite N705, Dallas, TX 75247-4069 | 2015-05-13 |
| 1730591744 | Erin Russell | Physician Assistant | 8200 Brookriver Dr, Suite N705, Dallas, TX 75247-4069 | 2014-05-24 |
| 1285927269 | Daneeque J Woolfolk | Dermatology | 8200 Brookriver Dr, Ste N705, Dallas, TX 75247-4052 | 2011-05-24 |
| 1265617575 | Linda Anise Pouncy | Case Manager/Care Coordinator | 8200 Brookriver Dr, N503, Dallas, TX 75247-4069 | 2008-01-04 |
| 1760691695 | Pt Home Services of Dallas, Inc. | Home Health | 8200 Brookriver Dr, #n503, Dallas, TX 75247-4069 | 2007-05-21 |
| 1871702704 | Pt Home Services of Dallas, Inc. | Home Health | 8200 Brookriver Dr, #n503, Dallas, TX 75247-4069 | 2007-05-21 |
| 1972720084 | Pt Home Services of Dallas, Inc. | Case Management | 8200 Brookriver Dr, # N503, Dallas, TX 75247-4069 | 2007-04-19 |
| 1831154988 | Raymond C Blackburn | Dermatology | 8200 Brookriver Dr, Ste N705, Dallas, TX 75247-4069 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1750916144 | Sunshine Kids Pediatric Day Center, LLC | Nursing Care | 9127-9131 King Arthur Boulevard, Dallas, TX 75247 | 2020-03-06 |
| 1740789924 | Jennifer Pauli | Nurse Practitioner | 7610 N Stemmons Fwy Ste 360, Dallas, TX 75247 | 2018-02-02 |
| 1669991097 | Kai Medical Laboratories, LLC | Pathology | 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 | 2017-09-18 |
| 1174055610 | Hoa Perkins | Technician/Technologist | 1499 Regal Row Suite 505a, Dallas, TX 75247 | 2017-04-03 |
| 1376910018 | Integron LLC | Clinical Medical Laboratory | 5139 Sharp Street, Dallas, TX 75247 | 2015-08-28 |
| 1710364575 | T.e.a.m. | Community/Behavioral Health | 1140 Empire Central Blvd, 520, Dallas, TX 75247 | 2015-04-30 |
| 1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
| 1457665317 | Pediatric Home Healthcare, LLC | Home Health | 1341 W Mockingbird Ln Ste 245e, Dallas, TX 75247 | 2010-08-03 |
| 1275846388 | Another Chancee, Inc. | Social Worker | 1140 Empire Central Drive, Suite 260, Dallas, TX 75247 | 2010-07-17 |
| Find all providers in zip 75247 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134507007 | Robert William Gladney | Obstetrics & Gynecology | 4224 Swiss Ave Ste 201, Dallas, TX 75204-6670 | 2015-05-12 |
| 1366820250 | Casey Roth | Obstetrics & Gynecology | 3600 Gaston Ave Ste 601, Dallas, TX 75246-1806 | 2015-05-11 |
| 1952703373 | Unified Women's Healthcare of Texas Pllc | Obstetrics & Gynecology | 1717 Mckinney Ave, Suite 700, Dallas, TX 75202-1237 | 2014-09-17 |
| 1710399019 | Paula Noemi Lomba | Obstetrics & Gynecology | 5939 Harry Hines Blvd Fl 5, Dallas, TX 75235 | 2014-05-21 |
| 1114343241 | Vibrant Health Md, Pllc | Obstetrics & Gynecology | 9119 Cochran Bluff Ln, Dallas, TX 75220-5235 | 2014-03-13 |
| 1205279395 | Tara O'connor | Obstetrics & Gynecology | 7777 Forest Ln Ste 570, Dallas, TX 75230-2571 | 2013-04-09 |
| 1295083491 | Jose L Rodriguez | Obstetrics & Gynecology | 8160 Walnut Hill Ln Ste 328, Dallas, TX 75231-4370 | 2012-08-17 |
| 1194080440 | Rakesh Gupta Md Obstetrics and Gynecology, Pa | Obstetrics & Gynecology | 13215 Glad Acres, Dallas, TX 75234 | 2012-07-11 |
| 1144580325 | Grace Marie Mooken | Obstetrics & Gynecology | 7777 Forest Ln Suite D550, Dallas, TX 75230 | 2012-05-22 |
| 1275891632 | Bianca Marie Caram | Obstetrics & Gynecology | 712 N Washington Ave Ste 250, Dallas, TX 75246-1631 | 2012-04-24 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.