T J Hunt Med Services, Pllc | |
1391 S Jones Blvd Las Vegas NV 89146-1200 | |
(702) 486-6200 | |
Not Available |
Full Name | T J Hunt Med Services, Pllc |
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Speciality | Family Medicine |
Location | 1391 S Jones Blvd, Las Vegas, Nevada |
Authorized Official Name and Position | Thomas J Hunt (OWNER) |
Authorized Official Contact | 7025775683 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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T J Hunt Med Services, Pllc 7512 Dry Pines Cir Las Vegas NV 89129-5930 Ph: (702) 577-5683 | T J Hunt Med Services, Pllc 1391 S Jones Blvd Las Vegas NV 89146-1200 Ph: (702) 486-6200 |
NPI Number | 1316302623 |
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Provider Enumeration Date | 12/31/2015 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 9335446269 |
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Medicare Enrollment ID | O20160427002073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316302623 | NPI | - | NPPES |
CS08386 | Other | NV | PHARMACY/CDS |
WQBHV35380 | Other | NV | MEDICARE ID-TYPE UNSPECIFIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Nevada) | Primary |
Provider Name | Thomas Hunt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194703082 PECOS PAC ID: 6709971252 Enrollment ID: I20100610000883 |
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