| Doctor Name: | BRIAN HENNING |
| NPI Number: | 1144275637 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CFNP |
| License Number: | R42824 |
| Business Practice Address: | 515 E Main St Hobbs, NM - 882408119 |
| Business Phone Number: | 5053970560 |
| Business Fax Number: | 5053970836 |
| Mailing Address: | 1927 N Fowler St, HOBBS |
| State: | NM |
| Postal Code: | 882403330 |
| Phone Number: | 5053918108 |
| Fax Number: | 5053970836 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R42824 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |