Healthcare Provider Details

I. General information

NPI: 1922114354
Provider Name (Legal Business Name): HENRY BERNARD TOWNSEND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4708 DEXTER DR STE 400
PLANO TX
75093-5571
US

IV. Provider business mailing address

4708 DEXTER DR STE 400
PLANO TX
75093-5571
US

V. Phone/Fax

Practice location:
  • Phone: 972-993-5050
  • Fax: 972-993-5051
Mailing address:
  • Phone: 972-993-5050
  • Fax: 972-993-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberK0389
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: