Individual
MR. ALAN HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19801 DOS AMIGO DR, LAGO VISTA, TX 78645-6040
(512) 217-6875
(512) 609-8007
Mailing address
19801 DOS AMIGO DR, LAGO VISTA, TX 78645-6040
(512) 217-6875
(512) 609-8007
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
59-3821290
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593821290
TAX ID
TX
Enumeration date
01/08/2011
Last updated
03/21/2011
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