| Identity Hormones Nv Llc | |
|
1701 N Green Valley Pkwy Ste F Henderson NV 89074-5885 | |
| (602) 354-3925 | |
| Not Available |
| Full Name | Identity Hormones Nv Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1701 N Green Valley Pkwy Ste F, Henderson, Nevada |
| Authorized Official Name and Position | Teah Phillips (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9012053999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Identity Hormones Nv Llc 1701 N Green Valley Pkwy Ste F Henderson NV 89074-5885 Ph: () - | Identity Hormones Nv Llc 1701 N Green Valley Pkwy Ste F Henderson NV 89074-5885 Ph: (602) 354-3925 |
| NPI Number | 1780441998 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780441998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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