Provider Demographics
NPI:1184868325
Name:RANCE, HENRY KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:KAY
Last Name:RANCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:117 E MAIN ST APT 8
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-3151
Mailing Address - Country:US
Mailing Address - Phone:313-212-7359
Mailing Address - Fax:
Practice Address - Street 1:600 LAS COLINAS BLVD E STE 1550
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-5693
Practice Address - Country:US
Practice Address - Phone:214-242-9347
Practice Address - Fax:678-966-7013
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZR71044208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics