Mac Henry, MD

Emergency Medicine Physician · Gallup, NM

Individual Active NPI

NPI number 1174947634

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1000

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NPI record

NPI
1174947634
Entity type
Individual (Type 1)
Enumeration date
February 4, 2014
Last updated
July 19, 2021
Certified
July 19, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Emergency Medicine Physician Primary 207P00000X A152358 CA

Mailing address

PO Box 1337
Gallup, NM 87305-1337

About Dr. Henry

Mac Henry, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Emergency Medicine Physician (code 207P00000X). The practice location is 516 E Nizhoni Blvd, Gallup, NM 87301-5748. The NPI number 1174947634 was assigned on February 4, 2014 and the record was last updated on July 19, 2021.

Dr. Henry lists a license in the registry: #A152358 (CA) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mac Henry, MD?

The NPI number is 1174947634.

What is the phone number of Dr. Henry?

The phone number listed for the practice location is (505) 722-1000.

Where is Dr. Henry located?

516 E Nizhoni Blvd, Gallup, NM 87301-5748.

What is the taxonomy code for Dr. Henry?

The primary taxonomy code is 207P00000X – Emergency Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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