Healthcare Provider Details

I. General information

NPI: 1851355838
Provider Name (Legal Business Name): HENRI ANN NORTMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 REGIONAL MEDICAL DR STE 1315
WHARTON TX
77488-1413
US

IV. Provider business mailing address

101 AVENUE F N
BAY CITY TX
77414-3167
US

V. Phone/Fax

Practice location:
  • Phone: 979-245-2008
  • Fax:
Mailing address:
  • Phone: 979-245-2008
  • Fax: 979-314-7164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL4833
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: