| Terri Henry, M.d., Inc | |
|
44215 15th St W Suite 203 Lancaster CA 93534-4014 | |
| (661) 948-0062 | |
| (661) 949-5876 |
| Full Name | Terri Henry, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 44215 15th St W, Lancaster, California |
| Authorized Official Name and Position | Terri D Henry (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6619480062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terri Henry, M.d., Inc 44215 15th St W Suite 203 Lancaster CA 93534-4014 Ph: (661) 948-0062 | Terri Henry, M.d., Inc 44215 15th St W Suite 203 Lancaster CA 93534-4014 Ph: (661) 948-0062 |
| NPI Number | 1548444144 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548444144 | NPI | - | NPPES |
| A69585 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A69585 (California) | Primary |
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