| Pro Bono Humani Llc | |
|
98 E Lake Mead Pkwy # 301 Henderson NV 89015 | |
| (702) 577-0543 | |
| (515) 583-4374 |
| Full Name | Pro Bono Humani Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 98 E Lake Mead Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | David Rivas (CMO) |
| Authorized Official Contact | 7025265078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Bono Humani Llc 110 N Boulder Hwy # 120-08 Henderson NV 89015 Ph: (702) 577-0543 | Pro Bono Humani Llc 98 E Lake Mead Pkwy # 301 Henderson NV 89015 Ph: (702) 577-0543 |
| NPI Number | 1174503429 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174503429 | NPI | - | NPPES |
| 002018927 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0926 (Nevada) | Primary |
| 208D00000X | General Practice | 0926 (Nevada) | Secondary |
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