| Promedeus Medical Group, Llc | |
|
280 S Ashland Ave Lexington KY 40502-1728 | |
| (956) 497-4285 | |
| Not Available |
| Full Name | Promedeus Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 280 S Ashland Ave, Lexington, Kentucky |
| Authorized Official Name and Position | Jesus Tovar (MEMBER) |
| Authorized Official Contact | 9564974285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promedeus Medical Group, Llc 3150 Custer Dr Ste 101 Lexington KY 40517-4010 Ph: (859) 537-8419 | Promedeus Medical Group, Llc 280 S Ashland Ave Lexington KY 40502-1728 Ph: (956) 497-4285 |
| NPI Number | 1023865730 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023865730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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