Adult Health And Wellness Center LLC
Family Medicine in Las Vegas, NV. Organization (NPI-2).
NPI number1164095899
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1164095899
- Entity type
- Organization (NPI-2)
- Legal business name
- Adult Health And Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2021
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
2881 Business Park Ct Ste 100Las Vegas, NV 89128-9019
Phone 702-510-4508 · Fax 702-724-0522
Mailing address
2881 Business Park Ct Ste 100Las Vegas, NV 89128-9019
Phone 702-510-4508 · Fax 702-724-0522
Authorized official
Humberto Rodriguez
Coo
7025104508
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