| Nv Psych Doc Llc | |
|
2110 E Flamingo Rd Ste 321 Las Vegas NV 89119-5190 | |
| (702) 308-5114 | |
| Not Available |
| Full Name | Nv Psych Doc Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2110 E Flamingo Rd Ste 321, Las Vegas, Nevada |
| Authorized Official Name and Position | Kriston Segura (MANAGER) |
| Authorized Official Contact | 7023085114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nv Psych Doc Llc 2110 E Flamingo Rd Ste 321 Las Vegas NV 89119-5190 Ph: (702) 308-5114 | Nv Psych Doc Llc 2110 E Flamingo Rd Ste 321 Las Vegas NV 89119-5190 Ph: (702) 308-5114 |
| NPI Number | 1871999201 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/26/2018 |
| Medicare PECOS PAC ID | 3375890254 |
|---|---|
| Medicare Enrollment ID | O20180724001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871999201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kriston A Segura |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407819071 PECOS PAC ID: 2365432689 Enrollment ID: I20040517001297 |
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