Jack H. Henry MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D1880 Issued in TX

Legal business name

JACK H. HENRY MD PA

Practice address

4004 82ND St
Lubbock, TX 79423-1900

Phone

(806) 792-5500

Fax

(806) 722-3103

NPI assigned

Jul 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clay P Garrison

Title

Coordinator, Managed Care

Phone

(806) 785-7676

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack Henry, MD

  • Orthopaedic Surgery Physician
  • Lubbock, TX
  • NPI 1023080652
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093744989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16585",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906585",
            "telephone_number": "806-785-2045",
            "fax_number": "806-785-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231900",
            "telephone_number": "806-792-5500",
            "fax_number": "806-722-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK H. HENRY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COORDINATOR, MANAGED CARE",
        "authorized_official_telephone_number": "806-785-7676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "D1880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.G. Group L.L.C.
• J.Michael Kerley, M.D., PLLC
• J&M Community Services LLC
• Miled A Jabor, M.D.
• Rochelle Jacinto, M.D.
• Jackson Rehab Services, LLC
• Austin Jackson, MD
• Belinda Beth Jackson
• Cecily Lynn Jackson, DDS
• Chet Garrett Jackson, CRNA

• Orthopaedic Surgery Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.