Organization · Type 2 NPI

Pro-Health Therapeutic & Empowerment Services LLC

General Practice Physician · Las Vegas, NV

NPI number 1053967265 Active

Practice location

3235 S Eastern Ave
Las Vegas, NV 89169-3310

Fax (866) 737-6147

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

18 other providers at this address

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NPI record

NPI: 1053967265
Entity type: Organization (Type 2)
Issued: Aug 13, 2019
Last updated: Aug 13, 2019
Status: Active
Subpart: Yes of Prohealth Therapeutic & Empowerment Services LLC

Other names

Prohealth Therapeutic & Empowerment Services · doing business as

Authorized official

Keisha Graham
Managing Director
(702) 490-9009

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053967265

Pro-Health Therapeutic & Empowerment Services LLC's National Provider Identifier is 1053967265, issued on Aug 13, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 13, 2019.