Individual
TIMOTHY EDWARD HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
35 ROBERTS RD, SANDIA PARK, NM 87047-9352
(505) 977-0144
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2023-0309
NM
Other
Enumeration date
08/01/2022
Last updated
03/18/2025
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