| NPI Details | |
|---|---|
| NPI | 1437388626 |
| Enumeration Date | 07/08/2009 |
| Last Updated | 07/08/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 7 years ago |
| Authorized Information | |
|---|---|
| Name | MARK F MARK |
| Position | OWNER |
| Phone | (702) 564-2331 |
| Fax | |
| Practice Location | |
|---|---|
| 127 S WATER ST HENDERSON NV, 89015-7221, US |
|
| Phone | (702) 564-2331 |
| Fax | |
| Business Location | |
|---|---|
| 127 S WATER ST HENDERSON NV, 89015-7221, US |
|
| Phone | (702) 564-2331 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 111N00000X |
| License State | Nevada |
| License Number | B00520 |
| Remove 1437388626 NPI Number | |
According to our database, Healthsource Of Henderson, Inc. NPI is 1437388626, taxonomy code is 111N00000X and license number is B00520, license state is located at Nevada. Healthsource Of Henderson, Inc. physically located at 127 S Water St, Henderson NV, 89015-7221. NPI Number 1033115704 has the healthcare provider type.
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1437388626 NPI number is provided on an as is basis without warranty of any kind. 1437388626 is maintained by the National Plan & Provider Enumeration System. The contents of Healthsource Of Henderson, Inc. are for informational purposes only.
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