Organization Active NPI

Robert Henry, III, MD, PA

  • Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1619283181
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
E4400 Issued in TX
Legal business name
ROBERT HENRY, III, MD, PA
Practice address
920 E Berry St
Fort Worth, TX 76110-4415
Phone
(817) 921-6081
Fax
(817) 923-7091
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Robert Henry III, M.D
Title
Owner
Phone
(817) 921-6081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X E4400 TX Primary

Addresses

Primary practice location

920 E Berry St
Fort Worth, TX 76110-4415

Mailing address

920 E Berry St
Fort Worth, TX 76110-4415
Phone (817) 921-6081

National Provider Directory

National Provider Directory

Locations

920 E Berry St
Fort Worth, TX 76110
Phone (817) 921-6081

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1619283181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761104415",
            "telephone_number": "817-921-6081",
            "fax_number": "817-923-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761104415",
            "telephone_number": "817-921-6081",
            "fax_number": "817-923-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HENRY, III, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-921-6081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "E4400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.