NPI 1083170138

Samuel Pachis Henry, RBT

Practitioner Other Technician Fort Worth, TX

Practice location

Address: 12650 N Beach St STE 146, Fort Worth, TX 76244-4253
Phone: (682) 238-1872
Mailing address: 16800 Dallas Pkwy STE 200, Dallas, TX 75248-1961

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence RBT-18-53975

Other Technician, Other providers in Texas →

Registry record

NPI: 1083170138
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2019
Record last updated: 2 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.