Individual
STEVEN ROYCE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
2350 CORPORATE CIR STE 101, HENDERSON, NV 89074-7737
(702) 938-0088
(702) 260-4689
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
512
NV
363AM0700X
Medical Physician Assistant
512
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104036144
—
NV
01
—
512
STATE LICENSE
NV
Enumeration date
05/22/2007
Last updated
02/09/2026
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