Henry Eugene McLemore, DDS
Individual provider Active NPI Dentist · San Augustine, TX
NPI 1164544490 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164544490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7516 (TX)
- Practice address
- 306 Maple St
San Augustine, TX 75972-2322 - Phone
- (936) 275-2354
- Fax
- (936) 275-4410
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7516 | TX | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7516 | TX | Yes |
Addresses
Primary practice location
306 Maple St
San Augustine, TX 75972-2322
Mailing address
306 Maple
PO Box592
San Augustine, TX 75972-0592
Phone (936) 275-2354
Other providers in San Augustine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.