Waddell, Henry
Waddell, Henry is an individual health care provider with primary practice located at 1205 E Alton Gloor Blvd , Brownsville TX 78526-3831. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Waddell, Henry can be contacted via phone (956) 542-1956.Contact Information
Primary practice address
1205 E Alton Gloor Blvd
Brownsville TX 78526-3831
Phone: (956) 542-1956
Fax: (956) 542-3672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 17379 | Texas |
| Dental Providers / General Practice | 1223G0001X | 52544 | California |
| Dental Providers / General Practice | 1223G0001X | 17379 | Texas |
Profile Details
| NPI number | 1457366023 |
|---|---|
| LBN Legal business name | Waddell, Henry |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jun 17th, 2021 - about 3 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 | 1457366023 | NPPES |
| Texas | MEDICAID | 184357510 |
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