| Organization Name: | HENSON CLINIC |
| NPI Number: | 1982984779 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN MARCY HENSON (OWNER) |
| Mailing Address: | 301 N Preston Rd Suite B Prosper |
| State: | TX US |
| Postal Code: | 750788645 |
| Phone Number: | 9723471320 |
| Fax Number: | 9723471322 |
| NPI Enumeration Date: | 08/24/2011 |
| NPI Last Update Date: | 09/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | 616839 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |