Individual ProviderHenry DanchiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638(210) 292-7805PECOS EnrollmentBased on the most recent information from CMS, provider Henry Danchi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 12:57 PM.Profile DetailsProvider ID1194358952Provider TypeIndividualFull NameDanchi, HenryGenderMaleSole ProprietorNoEnumeration Date2/19/2020Last Updated11/21/2024Contact InformationPractice LocationPractice Address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638Phone(210) 292-7805Fax(210) 292-7868Mailing LocationMailing Address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638Phone(210) 292-7805Fax(210) 292-7868Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101273284VirginiaCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense0101273284Virginia