| Doctor Name: | HENRY WATERS |
| NPI Number: | 1003868738 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A.-C |
| License Number: | PA03888 |
| Business Practice Address: | 14100 Ranch Road 12 Ste 900 Wimberley, TX - 786765354 |
| Business Phone Number: | 5128473366 |
| Business Fax Number: | 5128473327 |
| Mailing Address: | Po Box 2970, WIMBERLEY |
| State: | TX |
| Postal Code: | 786767870 |
| Phone Number: | 5128473366 |
| Fax Number: | 5128473327 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA03888 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |