| Hyder Therapeutic Alliance Pllc | |
|
2248 Via Cadoma Henderson NV 89052 | |
| (702) 982-1335 | |
| (702) 789-6185 |
| Full Name | Hyder Therapeutic Alliance Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2248 Via Cadoma, Henderson, Nevada |
| Authorized Official Name and Position | Muhammad Ali Hyder (PRESIDENT) |
| Authorized Official Contact | 7029821335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyder Therapeutic Alliance Pllc 2248 Via Cadoma Henderson NV 89052 Ph: (702) 982-1335 | Hyder Therapeutic Alliance Pllc 2248 Via Cadoma Henderson NV 89052 Ph: (702) 982-1335 |
| NPI Number | 1114207503 |
|---|---|
| Provider Enumeration Date | 08/17/2011 |
| Last Update Date | 08/03/2016 |
| Medicare PECOS PAC ID | 8628241254 |
|---|---|
| Medicare Enrollment ID | O20111027000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114207503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 13930 (Nevada) | Primary |
| Provider Name | Muhammad Hyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013085257 PECOS PAC ID: 7012957368 Enrollment ID: I20111102000430 |
| Provider Name | Francis O Raini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154613479 PECOS PAC ID: 2365786274 Enrollment ID: I20181204002010 |
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