Healthcare Provider Details

I. General information

NPI: 1265963920
Provider Name (Legal Business Name): HENRY BRANT HUSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 TYLERSVILLE RD STE B
WEST CHESTER OH
45069-2065
US

IV. Provider business mailing address

7200 TYLERSVILLE RD STE B
WEST CHESTER OH
45069-2065
US

V. Phone/Fax

Practice location:
  • Phone: 513-757-8336
  • Fax: 854-766-2693
Mailing address:
  • Phone: 513-757-8336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number35.154005
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: