Henao, Jose G
Henao, Jose G is an sole proprietor health care provider with primary practice located at 5460 Paredes Line Rd Ste 209, Brownsville TX 78526-9741. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Henao, Jose G can be contacted via phone (956) 541-4849.Contact Information
Primary practice address
5460 Paredes Line Rd Ste 209
Brownsville TX 78526-9741
Phone: (956) 541-4849
Fax: (956) 982-1629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1613P | Texas |
Profile Details
| NPI number | 1487743258 |
|---|---|
| LBN Legal business name | Henao, Jose G |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Apr 21st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487743258 | NPPES |
| Texas | MEDICAID | 154530301 | |
| Texas | Other | 62JN |
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