Beautiful Minds Primary Care Clinic LLC
Clinic/Center, Primary Care in North Las Vegas, NV. Organization (NPI-2).
NPI number1164024428
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1164024428
- Entity type
- Organization (NPI-2)
- Legal business name
- Beautiful Minds Primary Care Clinic LLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2020
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – |
Practice location
3550 W Cheyenne Ave Ste 100-130North Las Vegas, NV 89032-8212
Phone 702-331-1917 · Fax 702-331-5219
Mailing address
3550 W Cheyenne Ave Ste 100-130North Las Vegas, NV 89032-8212
Phone 702-331-1917 · Fax 702-331-5219
Authorized official
Lashandia Binion
Owner
7028135413
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