Provider Demographics
NPI:1437327665
Name:RONNEY M HENSON D. C. P.C.
Entity Type:Organization
Organization Name:RONNEY M HENSON D. C. P.C.
Other - Org Name:HOLISTIC HEALTH CENTERS OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONNEY
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:HENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-332-3454
Mailing Address - Street 1:300 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3743
Mailing Address - Country:US
Mailing Address - Phone:281-332-3454
Mailing Address - Fax:281-332-3454
Practice Address - Street 1:300 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3743
Practice Address - Country:US
Practice Address - Phone:281-332-3454
Practice Address - Fax:281-332-3454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2407261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center