Provider Demographics
NPI:1578509949
Name:HOUSLEY, HELEN T (MD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:T
Last Name:HOUSLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PINTO LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4045
Mailing Address - Country:US
Mailing Address - Phone:702-367-9300
Mailing Address - Fax:702-367-9400
Practice Address - Street 1:2000 PINTO LN
Practice Address - Street 2:SUITE 200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4045
Practice Address - Country:US
Practice Address - Phone:702-367-9300
Practice Address - Fax:702-367-9400
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9142208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018222Medicaid
34006961OtherRAILROAD MEDICARE PIN
34006961OtherRAILROAD MEDICARE PIN
32273Medicare PIN