Steven Royce Henderson in Henderson - Physician Assistant
Steven Royce Henderson - NPI 1104036144
Steven Royce Henderson is a Physician Assistant in Henderson, Nevada. Steven Royce Henderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Steven Royce Henderson is 1104036144. The last update date is 2023-03-07.
Steven Royce Henderson's current location address is 100 N Green Valley Pkwy Ste 240, Henderson, Nevada. You can contact this provider via phone number 7029380088 and fax number 7022604689. The mailing address for Steven Royce Henderson is 100 N Green Valley Pkwy Ste 240, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Royce Henderson |
|---|---|
| Address | 100 N Green Valley Pkwy Ste 240, Henderson, Nevada |
| Phone Number | 7029380088 |
| Fax Number | 7022604689 |
| Sole Proprietor | N |
| Credentials | P.A.C. |
NPI Number Detail
| NPI Number | 1104036144 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 100 N Green Valley Pkwy Ste 240 |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 890747704 |
| Phone Number | 7029380088 |
| Fax Number | 7022604689 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 512 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1104036144 | NV | -- | |
| 512 | NV | STATE LICENSE |
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What is the unique 10-digit identifier code assigned to Steven Royce Henderson by the Centers for Medicare & Medicaid Services?
The Steven Royce Henderson has been issued the NPI (National Provider Identifier) 1104036144 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Steven Royce Henderson located?
The Steven Royce Henderson is located at 100 N Green Valley Pkwy Ste 240, Henderson, NV 890747704.
What is the Steven Royce Henderson's area of specialization and corresponding taxonomy classification?
The Steven Royce Henderson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1104036144 assigned to Steven Royce Henderson?
The Steven Royce Henderson was issued its 1104036144 on 2007-05-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Steven Royce Henderson's details last updated?
The information pertaining to the Steven Royce Henderson, including its address, specialty, and other details, was most recently updated on 2023-03-07.