MEDICARE: HENRY WATERS JR. P.A.-C

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	363AM0700X	Medical Physician Assistant	PA03888	TX

General Provider Information

NPI Number	:	1003868738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY WATERS JR. P.A.-C

Provider Business Mailing Address
First Line	:	PO BOX 2970
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-7870
Country	:	US
Telephone Number	:	512-847-3366
Fax Number	:	512-847-3327

Provider Business Practice Location Address
First Line	:	14100 RANCH ROAD 12
Second Line	:	STE 900
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-5354
Country	:	US
Telephone Number	:	512-847-3366
Fax Number	:	512-847-3327

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	09/09/2008

Similar Medicare Providers

1255364964 — KARIN LEAH STEINAU PAC
Practice Location Address:

14100 RANCH ROAD 12 , SUITE 900
WIMBERLEY, TX
78676-5354

Practice Phone: 512-847-0300
Practice Fax:

1114026432 — BROOKSHIRE BROTHERS INC
Practice Location Address:

14100 RANCH ROAD 12 , SUITE 2A
WIMBERLEY, TX
78676-5354

Practice Phone: 512-847-7520
Practice Fax: 512-842-8032

1285727339 — SHARYN KAY HARRIS P.A.
Practice Location Address:

14100 RANCH ROAD 12 , STE 900
WIMBERLEY, TX
78676-5354

Practice Phone: 512-847-0300
Practice Fax: 512-847-0200

1164502837 — MATTHEW ANTHONY POLHEMUS PT
Practice Location Address:

14100 RANCH ROAD 12 , STE 100
WIMBERLEY, TX
78676-5354

Practice Phone: 512-847-3300
Practice Fax: 512-847-3314

1215115167 — WIMBERLEY VALLEY MEDICAL CENTER LP
Practice Location Address:

14100 RANCH ROAD 12 , STE 900
WIMBERLEY, TX
78676-5354

Practice Phone: 512-847-3366
Practice Fax: 325-641-8714

1467750554 — 2 M POLHEMUS LLC
Practice Location Address:

14100 RANCH ROAD 12 , #100
WIMBERLEY, TX
78676-5354

Practice Phone: 830-221-5423
Practice Fax:

Directions to “ HENRY WATERS JR. P.A.-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.