Provider Demographics
NPI:1316948003
Name:PLATT, HENRY J (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:J
Last Name:PLATT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3515 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0711
Mailing Address - Country:US
Mailing Address - Phone:903-791-9355
Mailing Address - Fax:903-791-7258
Practice Address - Street 1:3515 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0711
Practice Address - Country:US
Practice Address - Phone:903-791-9355
Practice Address - Fax:903-831-7258
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2015-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK0999207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF93280Medicare UPIN
AR5J582G112Medicare PIN
TX8D1835Medicare PIN