Individual provider Active NPI

Robert L. Henry Jr., M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1861469850
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H1285 Issued in TX
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

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000082 TX Practitioner - Pediatric Medicine 4082890439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health Center of Southeast Texas CurrentSince Oct 4, 2021 Accepting new patients
Health Center of Southeast Texas CurrentSince Oct 4, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.