Johnny Lee Henry, M.D.,P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E0974 Issued in TX

Legal business name

JOHNNY LEE HENRY, M.D.,P.A.

Practice address

8200 Brookriver Dr
Suite N-512
Dallas, TX 75247-4069

Phone

(214) 631-2653

Fax

(214) 637-9063

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Renee Casella, PHYSICIAN ASSISTANT

Title

Office Manager

Phone

(214) 631-2653

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1497010730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 BROOKRIVER DR",
            "address_2": "SUITE N-512",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474069",
            "telephone_number": "214-631-2653",
            "fax_number": "214-637-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 BROOKRIVER DR",
            "address_2": "SUITE N-512",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474069",
            "telephone_number": "214-631-2653",
            "fax_number": "214-637-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY LEE HENRY, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "CASELLA",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-631-2653",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E0974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032327101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shibu John, RPH
• Steve John, PT, DPT
• Suja John, CRNA
• Sunitha Sara John, MD
• Mica K Johnese, WHNP-BC
• Blessing Johnny
• Seth Johns, DPT
• Theodore A Johns, MD
• Mary Frances Johnsen, RPH
• Johnson Dubose Family Company LLC

• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.