| Wikler Family Practice Associates Professional Corporation | |
|
8985 S Pecos Rd 4a Henderson NV 89074-7162 | |
| (702) 433-1332 | |
| (702) 547-4931 |
| Full Name | Wikler Family Practice Associates Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 8985 S Pecos Rd, Henderson, Nevada |
| Authorized Official Name and Position | Abraham Wikler (PRESIDENT) |
| Authorized Official Contact | 7024331332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wikler Family Practice Associates Professional Corporation 8985 S Pecos Rd 4a Henderson NV 89074-7162 Ph: (702) 433-1332 | Wikler Family Practice Associates Professional Corporation 8985 S Pecos Rd 4a Henderson NV 89074-7162 Ph: (702) 433-1332 |
| NPI Number | 1366638413 |
|---|---|
| Provider Enumeration Date | 09/22/2007 |
| Last Update Date | 01/23/2013 |
| Medicare PECOS PAC ID | 2466439906 |
|---|---|
| Medicare Enrollment ID | O20040702000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366638413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 639 (Nevada) | Primary |
| Provider Name | Eric G Wikler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992889364 PECOS PAC ID: 7012982135 Enrollment ID: I20040831001453 |
| Provider Name | Cynthia Ozawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871673525 PECOS PAC ID: 0648495200 Enrollment ID: I20140715002536 |
| Provider Name | Derek W Crouch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609160019 PECOS PAC ID: 2264750959 Enrollment ID: I20160818002831 |
| Provider Name | Kristine Crouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699490748 PECOS PAC ID: 2860861630 Enrollment ID: I20221218000013 |
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