MEDICARE: RONNEY M HENSON D. C. P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	2407	TX

General Provider Information

NPI Number	:	1437327665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONNEY M HENSON D. C. P.C.

Provider Business Mailing Address
First Line	:	300 E MAIN ST
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-3743
Country	:	US
Telephone Number	:	281-332-3454
Fax Number	:	281-332-3454

Provider Business Practice Location Address
First Line	:	300 E MAIN ST
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-3743
Country	:	US
Telephone Number	:	281-332-3454
Fax Number	:	281-332-3454

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RONNEY MITCHELL HENSON
Credential	:	DC
Telephone Number	:	281-332-3454

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	02/11/2008

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