MEDICARE: ALBERT CARL HENRY III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	E2610	TX

General Provider Information

NPI Number	:	1518927557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT CARL HENRY III MD

Provider Business Mailing Address
First Line	:	3214 BEVERLY DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-2925
Country	:	US
Telephone Number	:	214-236-5421
Fax Number	:

Provider Business Practice Location Address
First Line	:	621 N HALL ST STE 108
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75226-1321
Country	:	US
Telephone Number	:	214-236-5421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	01/03/2025

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