Travis Scott Henry, MD | |
505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 | |
(972) 923-1686 | |
(972) 937-7731 |
Full Name | Travis Scott Henry |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 505 N Highway 77, Waxahachie, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093743569 | NPI | - | NPPES |
0370751-02 | Medicaid | TX | |
8BR077 | Other | TX | BCBS |
0370751-01 | Medicaid | TX | |
037075103 | Medicaid | TX | |
81834S | Other | TX | BCBS |
8V7015 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L0819 (Texas) | Primary |
Entity Name | Healthtexas Provider Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
---|---|
Travis Scott Henry, MD 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 Ph: (972) 923-1686 | Travis Scott Henry, MD 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 Ph: (972) 923-1686 |
Peggy Fenton Linguist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 411 E Jefferson St, Waxahachie, TX 75165 Phone: 972-923-2440 Fax: 972-923-2445 | |
Haley Elyse Wagner, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 505 N Highway 77, Suite 200, Waxahachie, TX 75165 Phone: 972-923-1686 Fax: 972-923-9268 | |
Mary Jean Strength, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1710 W Highway 287 Business Ste 100, Waxahachie, TX 75165 Phone: 972-937-1221 Fax: 972-937-7878 | |
Deborah Chan Fung, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 N Highway 77, Suite 200, Waxahachie, TX 75165 Phone: 972-923-1686 Fax: 972-923-9268 | |
Dr. Jonathan David Gilmore, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1434 W Us Highway 287 Byp Ste 400, Waxahachie, TX 75165 Phone: 469-550-7050 Fax: 469-550-7051 |