Organization · NPI-2

Abraham T. Fakhouri, M.D.

Family Medicine · Henderson, NV

NPI number1730691890
StatusActive
Last updated in NPPESJan 4, 2018

Details

NPI
1730691890
Entity type
Organization (NPI-2)
Legal business name
Abraham T. Fakhouri, M.D.
Organization subpart
No
Enumeration date
Oct 30, 2017
Last updated
Jan 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine14038NVYes

Practice location

861 Coronado Center Dr Ste 220
Henderson, NV 89052-3992

Phone 702-933-1485 · Fax 702-933-1490

Mailing address

861 Coronado Center Dr Ste 220
Henderson, NV 89052-3992

Authorized official

Abraham T. Fakhouri
Member
7029331485

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Henderson, NV