Active NPI
Henry Waters Jr., P.A.-C
- Medical Physician Assistant
- Wimberley, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA03888
- Practice address
- 14100 Ranch Road 12
Ste 900
Wimberley, TX 78676-5354 - Phone
- (512) 847-3366
- Fax
- (512) 847-3327
- NPI assigned
- May 17, 2006
- Last updated
- Sep 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA03888 | TX | Primary |
Addresses
Primary practice location
14100 Ranch Road 12
Ste 900
Wimberley, TX 78676-5354
Mailing address
PO Box 2970
Wimberley, TX 78676-7870
Phone (512) 847-3366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11282 Culebra Rd
Suite 115
San Antonio, TX 78253-7329
Phone (210) 802-2660
1211 Austin Hwy
Suite 110
San Antonio, TX 78209-4980
Phone (210) 774-5010
1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100
16755 Huebner Rd
San Antonio, TX 78248-2342
Phone (210) 493-4357
7110 FM
78 Suite 110
San Antonio, TX 78244-1765
Phone (210) 310-2273
791 FM
1103 Suite 125
Cibolo, TX 78108-3673
Phone (830) 240-2615
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03888 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Leading Edge Emergency Physicians, Inc | Current | Accepting new patients | |
| Wimberley Valley Medical Center LP | Past | Accepting new patients | |
| Third Coast Emergency Physicians Sid Peterson PA | Past | Accepting new patients |
Locations
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092
16755 Huebner Rd
San Antonio, TX 78248
Phone (210) 493-4357
Interoperability endpoints
- henry.waterspac.p6@direct.nextcare.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1003165259
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1497793475
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
-
dba Leep El Paso
- Emergency Medicine Physician
- Horizon City, TX
- NPI 1902324551
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
- Emergency Medicine Physician
- Kerrville, TX
- NPI 1972541423
-
- Family Medicine Physician
- Wimberley, TX
- NPI 1215115167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1003868738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2970",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786767870",
"telephone_number": "512-847-3366",
"fax_number": "512-847-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 RANCH ROAD 12",
"address_2": "STE 900",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786765354",
"telephone_number": "512-847-3366",
"fax_number": "512-847-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "HENRY",
"name_suffix": "Jr.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA03888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wimberley, TX
- Christine B Urban, PHYSICAL THERAPIST
- Uvalde County Hospital Authority (Deer Creek Nursing and Rehabilitation)
- Christine K. Valentine, PT
- Sandra F Vara
- Ashley Catherine Vicknair, CPNP
- Cheryl R Watson
- Anna R. H. White, MS, RN, FNP-BC
- Fleta G. Whitten, PHYSICAL THERAPIST
- Michele Leigh Wieckowski, APRN
- Wildflower Springs Manager LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.