Active NPI
Robert L. Henry Jr., M.D.
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1861469850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- H1285
- Practice address
- 17030 Nanes Dr
Suite 103
Houston, TX 77090-2503 - Phone
- (281) 440-4150
- NPI assigned
- Mar 8, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | H1285 | TX | Primary |
Addresses
Primary practice location
17030 Nanes Dr
Suite 103
Houston, TX 77090-2503
Mailing address
PO Box 841969
Dallas, TX 75284-1969
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Center of Southeast Texas | Current | Accepting new patients | |
| Health Center of Southeast Texas | Current | Accepting new patients | |
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
Locations
871 County Road 3549
Cleveland, TX 77327
Phone (281) 592-2224
307 N William Barnett Ave
Cleveland, TX 77327
Phone (281) 592-2224
204 W Park
Ste 200
Livingston, TX 77352
Phone (936) 327-4660
Interoperability endpoints
- robert.henryjr@hcost.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Cleveland, TX
- NPI 1225059686
-
- Federally Qualified Health Center (FQHC)
- Cleveland, TX
- NPI 1265197867
-
- Pediatrics Physician
- Houston, TX
- NPI 1225038326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1861469850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841969",
"city": "DALLAS",
"state": "TX",
"postal_code": "752841969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17030 NANES DR",
"address_2": "SUITE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902503",
"telephone_number": "281-440-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ROBERT",
"middle_name": "L.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "H1285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.