MEDICARE: A CARL HENRY MD PA

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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	:	1982667523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A CARL HENRY MD PA

Provider Business Mailing Address
First Line	:	3214 BEVERLY DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-2925
Country	:	US
Telephone Number	:	214-236-5421
Fax Number	:

Provider Business Practice Location Address
First Line	:	621 N HALL ST STE 108
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75226-1321
Country	:	US
Telephone Number	:	214-236-5421
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALBERT CARL HENRY III
Credential	:	MD
Telephone Number	:	214-236-5421

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	02/10/2026

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