MEDICARE: DR. RUSSELL PATRICK HENRY M.D.

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	207R00000X	Internal Medicine Physician	012720	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780689893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL PATRICK HENRY M.D.

Provider Business Mailing Address
First Line	:	911 VERRET ST
Second Line	:
City	:	HOUMA
State	:	LA
Zip	:	70360-4637
Country	:	US
Telephone Number	:	985-876-7388
Fax Number	:	985-876-3378

Provider Business Practice Location Address
First Line	:	911 VERRET ST
Second Line	:
City	:	HOUMA
State	:	LA
Zip	:	70360-4637
Country	:	US
Telephone Number	:	985-876-7388
Fax Number	:	985-876-3378

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	05/13/2010

Similar Medicare Providers

1366447476 — MRS. ANNETTE LEBOUEF WINDHAM FNP-C
Practice Location Address:

911 VERRET ST
HOUMA, LA
70360-4637

Practice Phone: 985-876-8388
Practice Fax: 985-876-3378

1740288992 — MRS. GAIL H. AYCOCK LCSW,BCD
Practice Location Address:

911 VERRET ST
HOUMA, LA
70360-4637

Practice Phone: 985-851-6237
Practice Fax: 985-876-2878

1790897478 — DONALD PAUL KINNARD L.P.T., R.P.T.
Practice Location Address:

901 VERRET ST
HOUMA, LA
70360-4637

Practice Phone: 985-868-3806
Practice Fax: 985-868-3805

1689750192 — INTERNAL MEDICINE CLINIC OF HOUMA
Practice Location Address:

911 VERRET ST
HOUMA, LA
70360-4637

Practice Phone: 985-876-7388
Practice Fax:

1891915864 — LATERRE PHYSICAL THERAPY, INC
Practice Location Address:

901 VERRET ST
HOUMA, LA
70360-4637

Practice Phone: 985-868-3806
Practice Fax:

1417143249 — LISA RUSSO AUTHEMENT MSN-APRN
Practice Location Address:

911 VERRET ST
HOUMA, LA
70360-4637

Practice Phone: 985-876-7388
Practice Fax: 985-872-2878

Directions to “ DR. RUSSELL PATRICK HENRY M.D.” 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.