Provider Demographics
NPI:1225737901
Name:HENAO CASAS, ADRIANA MARCELA (DDS)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:MARCELA
Last Name:HENAO CASAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4223 H ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5380
Mailing Address - Country:US
Mailing Address - Phone:832-908-7496
Mailing Address - Fax:
Practice Address - Street 1:9889 BELLAIRE BLVD STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3585
Practice Address - Country:US
Practice Address - Phone:713-272-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40615122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist