Randall Wayne Henderson in Las Vegas - Specialist
Randall Wayne Henderson - NPI 1043334261
Randall Wayne Henderson is a Specialist in Las Vegas, Nevada. Randall Wayne Henderson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Randall Wayne Henderson is 1043334261. The last update date is 2014-07-18.
Randall Wayne Henderson's current location address is 2510 E Sunset Rd, Las Vegas, Nevada. You can contact this provider via phone number 7027980113 and fax number 8662915242. The mailing address for Randall Wayne Henderson is 2510 E Sunset Rd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Wayne Henderson |
|---|---|
| Address | 2510 E Sunset Rd, Las Vegas, Nevada |
| Phone Number | 7027980113 |
| Fax Number | 8662915242 |
| Sole Proprietor | N |
| Credentials | BC-HIS |
NPI Number Detail
| NPI Number | 1043334261 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2014-07-18 |
Provider Mailing Address Detail
| Address | 2510 E Sunset Rd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891203511 |
| Phone Number | 7027980113 |
| Fax Number | 8662915242 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 729 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 227132 | IA | -- | |
| 42150911900 | NE | -- | |
| 348031700 | DOL NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randall Wayne Henderson?
The Randall Wayne Henderson has been issued the NPI (National Provider Identifier) 1043334261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Randall Wayne Henderson is located?
The Randall Wayne Henderson is situated at the following address: 2510 E Sunset Rd, Las Vegas, NV, 891203511.
What is Randall Wayne Henderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randall Wayne Henderson is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043334261 to Randall Wayne Henderson?
The Randall Wayne Henderson received its 1043334261 assignment from the Centers for Medicare & Medicaid Services on 2007-03-16.
When was the Randall Wayne Henderson's information last updated?
The Randall Wayne Henderson's information was last updated on 2014-07-18.