THE DOC'S PRIMARY CARE INC NPI 1013637800

NPI Information

  • NPI: 1013637800
  • Provider Name: THE DOC'S PRIMARY CARE, INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 29D2266903
  • Address: 3005 W HORIZON RIDGE PKWY STE 100
    HENDERSON, NV
    ZIP 89052
  • Phone: (702) 997-7600

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NPI Details

THE DOC'S PRIMARY CARE, INC is a primary care clinic center in Henderson, NV. THE DOC'S PRIMARY CARE, INC NPI is 1013637800. The provider is registered as an organization entity type.

The provider's business location address is:

3005 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV
ZIP 89052-030
Phone: (702) 997-7600

The provider's authorized official is Catheryn L Govereau .
The authorized official title is Administrator and has the following contact phone number (702) 630-3205.

The CLIA number assigned to this NPI record is 29D2266903 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2022 and was last updated on 8/31/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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