Tanya Henry, MD | |
1852 N Mastick Way, Nogales, AZ 85621-1063 | |
(520) 281-1550 | |
Not Available |
Full Name | Tanya Henry |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1852 N Mastick Way, Nogales, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023235934 | NPI | - | NPPES |
641796 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 45257 (Arizona) | Primary |
Entity Name | Mariposa Community Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417985474 PECOS PAC ID: 8123926326 Enrollment ID: O20031226000065 |
Mailing Address | Practice Location Address |
---|---|
Tanya Henry, MD 825 N Grand Ave Ste 100, Nogales, AZ 85621-1061 Ph: (520) 761-2133 | Tanya Henry, MD 1852 N Mastick Way, Nogales, AZ 85621-1063 Ph: (520) 281-1550 |
Andrea Batshon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 | |
Alfonso C. Robles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Burt A Stanga, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-375-6007 | |
Dr. Jeminah L. Van Handel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-2335 | |
Gonzalo E Ibarra Murrieta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-2335 | |
Dr. Oscar I Rojas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1209 W Target Range Rd, Suite 103, Nogales, AZ 85621 Phone: 520-287-4656 Fax: 520-287-2444 |