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PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC NPI 1053967265


NPI Information

NPI: 1053967265
Provider Name: PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3235 S EASTERN AVE
LAS VEGAS, NV
ZIP 89169
Phone: (702) 490-9009
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PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC is a general practice in Las Vegas, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC NPI is 1053967265. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3235 S EASTERN AVE
LAS VEGAS, NV
ZIP 89169-310
Phone: (702) 490-9009
Fax: (866) 737-6147

The provider's authorized official is Keisha Graham .
The authorized official title is Managing Director and has the following contact phone number (702) 490-9009.

The enumeration date for this NPI number is 8/13/2019 and was last updated on 8/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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