Henson, Amy Suzanne

Henson, Amy Suzanne is an individual health care provider with primary practice located at 1517 Texas Dr , Weatherford TX 76086-6327. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Henson, Amy Suzanne can be contacted via phone (817) 458-3300.

Contact Information

Primary practice address
1517 Texas Dr Weatherford TX 76086-6327
Phone: (817) 458-3300
Fax: (817) 458-3370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04161 Texas

Profile Details

NPI number 1952556680
LBN Legal business name Henson, Amy Suzanne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2008
Last updated Jul 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952556680 NPPES
Texas MEDICAID 198927901
Texas Other P00815324
Texas Other 8Y9488
Texas MEDICAID 198927903

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