Provider Demographics
NPI:1700142361
Name:HENSON, HOWARD HALE (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:HALE
Last Name:HENSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 GALLETTI WAY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-5526
Mailing Address - Country:US
Mailing Address - Phone:775-688-1900
Mailing Address - Fax:775-688-1962
Practice Address - Street 1:500 GALLETTI WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5526
Practice Address - Country:US
Practice Address - Phone:775-688-1900
Practice Address - Fax:775-688-1962
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV45962084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV4596OtherMEDICAL LICENCE