Henry Lysell Polk JR. M.D.

NPI 1053390013 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1053390013
Gender Male
Enumeration Date 01/10/2006
Last Updated 02/10/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
8550 HUEBNER RD
SAN ANTONIO TX, 78240-1803, US
Phone (210) 541-5300
Fax
Business Location
17503 LACANTERA PARKWAY
104 BOX 485
SAN ANTONIO TX, 78257-8207, US
Phone (210) 495-3627
Fax (210) 692-9021
Toxanomy
Taxonomy Code 2084P0800X
License State Texas
License Number M7529
Remove 1053390013 NPI Number
 

According to our database, Dr. Henry Lysell Polk JR. M.D. NPI is 1053390013, taxonomy code is 2084P0800X and license number is M7529, license state is located at Texas. Henry Lysell Polk JR. M.D. physically located at 8550 Huebner Rd, San Antonio TX, 78240-1803. NPI Number Henry Lysell Polk JR. M.D. has the Individual type.

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1053390013 NPI number is provided on an as is basis without warranty of any kind. 1053390013 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Lysell Polk JR. M.D. are for informational purposes only.