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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