Provider Demographics
NPI:1427046879
Name:HENKES, NORMAN DAVID (MD)
Entity type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:DAVID
Last Name:HENKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:DAVID
Other - Middle Name:NORMAN
Other - Last Name:HENKES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:215 ROCKHILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:210-393-6838
Mailing Address - Fax:210-614-4659
Practice Address - Street 1:UT HEALTH SAN ANTONIO DEPT OF PATHOLOGY LAB MEDICINE
Practice Address - Street 2:7703 FLOYD CURL DRIVE MC 7750
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-567-4003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4069207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128701305Medicaid
81P530Medicare ID - Type Unspecified
TX128701305Medicaid