Individual provider · Type 1 NPI

Eden Christian Henry

Pediatrics Physician · Gallup, NM

NPI number 1114509650 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Call (505) 722-1000 Map

Mailing address

6102 Private Road 6470
Lubbock, TX 79416-3351

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X0420017989 (VT)
Pediatrics Physician 208000000XCDR.0005149 (CO)
Pediatrics Physician 208000000XTL8632 (WY)
Pediatrics Physician 208000000XV6597 (TX)
Pediatrics Physician Primary 208000000X175086 (FL)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1114509650

Eden Christian Henry's National Provider Identifier is 1114509650, issued on Apr 23, 2021. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Gallup, NM. The record was last updated on Sep 29, 2025.