Provider Demographics
NPI:1235559220
Name:HELEN HOUSLEY MD PC
Entity Type:Organization
Organization Name:HELEN HOUSLEY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-367-9300
Mailing Address - Street 1:2000 PINTO LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4045
Mailing Address - Country:US
Mailing Address - Phone:702-367-9300
Mailing Address - Fax:702-367-9400
Practice Address - Street 1:2000 PINTO LN
Practice Address - Street 2:SUITE 200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4045
Practice Address - Country:US
Practice Address - Phone:702-367-9300
Practice Address - Fax:702-367-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9142174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty