MEDICARE: DR. GAIL ANN HENRY DC, DABCN, DACNB

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	111NN0400X	Neurology Chiropractor	2725	TX
2	111NR0400X	Rehabilitation Chiropractor	2725	TX

General Provider Information

NPI Number	:	1902989890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL ANN HENRY DC, DABCN, DACNB

Provider Business Mailing Address
First Line	:	8510 HILLCROFT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1018
Country	:	US
Telephone Number	:	713-772-4607
Fax Number	:	713-772-6015

Provider Business Practice Location Address
First Line	:	8510 HILLCROFT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1018
Country	:	US
Telephone Number	:	713-772-4607
Fax Number	:	713-772-6015

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	12/11/2007

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