Provider Demographics
NPI:1902989890
Name:HENRY, GAIL ANN (DC, DABCN, DACNB)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:ANN
Last Name:HENRY
Suffix:
Gender:F
Credentials:DC, DABCN, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8510 HILLCROFT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1018
Mailing Address - Country:US
Mailing Address - Phone:713-772-4607
Mailing Address - Fax:713-772-6015
Practice Address - Street 1:8510 HILLCROFT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1018
Practice Address - Country:US
Practice Address - Phone:713-772-4607
Practice Address - Fax:713-772-6015
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2725111NN0400X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601051Medicare ID - Type Unspecified