| Heracles Healthcare Group Llc | |
|
8290 W Sahara Ave Ste 190 Las Vegas NV 89117-8933 | |
| (323) 448-8567 | |
| Not Available |
| Full Name | Heracles Healthcare Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8290 W Sahara Ave Ste 190, Las Vegas, Nevada |
| Authorized Official Name and Position | Aileen Brawner (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 3234488567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heracles Healthcare Group Llc 8290 W Sahara Ave Ste 190 Las Vegas NV 89117-8933 Ph: (323) 448-8567 | Heracles Healthcare Group Llc 8290 W Sahara Ave Ste 190 Las Vegas NV 89117-8933 Ph: (323) 448-8567 |
| NPI Number | 1710443007 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 4587990734 |
|---|---|
| Medicare Enrollment ID | O20190725000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710443007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Aileen Cabading Brawner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225517584 PECOS PAC ID: 2365792272 Enrollment ID: I20180913001048 |
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