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General NPI Number Information
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NPI Number | 1518927557
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Entity Type | Individual
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Provider Name | ALBERT CARL HENRY III MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 621 N HALL ST STE 108
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City | DALLAS
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State | TX
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Zip | 75226-1321
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Country | US
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Telephone | 214-236-5421
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Fax |
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Provider Business Mailing Address
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Address Line | 3214 BEVERLY DR
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City | DALLAS
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State | TX
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Zip | 75205-2925
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Country | US
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Telephone | 214-236-5421
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | E2610
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License Number State | TX
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