| Modern Wellness Clinic | |
|
5375 S Fort Apache Rd Las Vegas NV 89148-7623 | |
| (702) 463-9159 | |
| Not Available |
| Full Name | Modern Wellness Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5375 S Fort Apache Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Robert J Webb (MANAGING PARNER) |
| Authorized Official Contact | 7022367171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Wellness Clinic 5375 S Fort Apache Rd Las Vegas NV 89148-7623 Ph: () - | Modern Wellness Clinic 5375 S Fort Apache Rd Las Vegas NV 89148-7623 Ph: (702) 463-9159 |
| NPI Number | 1245801273 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 03/20/2024 |
| Medicare PECOS PAC ID | 8123423357 |
|---|---|
| Medicare Enrollment ID | O20210825003010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245801273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tri M Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821033879 PECOS PAC ID: 8224038468 Enrollment ID: I20070111000331 |
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