Humanitas Primary Care | |
3201 S Maryland Pkwy Ste 512 Las Vegas NV 89109-2427 | |
(702) 685-7700 | |
(702) 629-7800 |
Full Name | Humanitas Primary Care |
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Speciality | Internal Medicine |
Location | 3201 S Maryland Pkwy Ste 512, Las Vegas, Nevada |
Authorized Official Name and Position | Esteban C Hennings (PRESIDENT) |
Authorized Official Contact | 7026857700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Humanitas Primary Care 284-c E Lake Mead Pkwy Pmb 261 Henderson NV 89015-6433 Ph: (702) 685-7700 | Humanitas Primary Care 3201 S Maryland Pkwy Ste 512 Las Vegas NV 89109-2427 Ph: (702) 685-7700 |
NPI Number | 1033352190 |
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Provider Enumeration Date | 04/19/2009 |
Last Update Date | 08/01/2021 |
Medicare PECOS PAC ID | 1052461613 |
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Medicare Enrollment ID | O20090603000095 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033352190 | NPI | - | NPPES |
Provider Name | Esteban Carlos Hennings |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932210457 PECOS PAC ID: 6305824681 Enrollment ID: I20040713000092 |
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