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2641 W Horizon Ridge Pkwy Ste 100 Henderson NV 89052-4836 | |
(702) 998-1399 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 2641 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada |
Authorized Official Name and Position | Hugh Burt (PRESIDENT) |
Authorized Official Contact | 7022962131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2625 Belgreen St Las Vegas NV 89135-1761 Ph: (702) 998-1399 | 2641 W Horizon Ridge Pkwy Ste 100 Henderson NV 89052-4836 Ph: (702) 998-1399 |
NPI Number | 1972240026 |
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Provider Enumeration Date | 05/18/2022 |
Last Update Date | 08/23/2023 |
Medicare PECOS PAC ID | 8921487356 |
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Medicare Enrollment ID | O20230606000297 |
Identifier | Type | State | Issuer |
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1972240026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Hugh A Burt |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972599371 PECOS PAC ID: 1951392794 Enrollment ID: I20101123000380 |
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