NPI 1053135657 · live from the CMS NPI Registry
Concierge Wound Care INC
Clinic/Center, Multi-Specialty in Las Vegas, NV. National Provider Identifier 1053135657, active.
NPI record
| NPI | 1053135657 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Multi-Specialty 261QM1300X |
| Practice location | 8820 Hickam Ave, Las Vegas, NV 89129 |
| Practice phone | 702-438-2229 |
| Enumerated | November 11, 2024 |
| Last updated | November 11, 2024 |
| Authorized official | Jennifer Hernandez, Billing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecologic Oncology | 207VX0201X | — |
| Clinic/Center, Multi-Specialty primary | 261QM1300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.