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Dr. Jack Henry, MD

Orthopaedic Surgery in Lubbock, TX. Individual provider (NPI-1).

NPI number1023080652
StatusActive
Last updated in NPPESFeb 28, 2012

Details

NPI
1023080652
Entity type
Individual (NPI-1)
Name
Dr. Jack Henry
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 7, 2006
Last updated
Feb 28, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic SurgeryD1880TXYes

Practice location

4004 82nd St
Lubbock, TX 79423-1900

Phone 806-722-3100

Mailing address

4004 82nd St
Lubbock, TX 79423-1900

Phone 806-722-3100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Orthopaedic Surgery Physician providers in Lubbock, TX

All 33 Orthopaedic Surgery Physician providers in Lubbock · All 7,272 providers in Lubbock

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