Wellformed AI

NPI 1073270773 · live from the CMS NPI Registry

Equality Project

Internal Medicine, Infectious Disease in Henderson, NV. National Provider Identifier 1073270773, active.

NPI record

NPI1073270773 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine, Infectious Disease 207RI0200X
Practice location1490 W Sunset Rd Ste 120, Henderson, NV 89014
Practice phone855-955-5428
EnumeratedNovember 17, 2021
Last updatedMay 9, 2025
Authorized officialTrevor Harder, Lab Director
Other namesHenderson Wellness Clinic; Henderson Equality Center; Precision Specialty Rx

Taxonomies and licenses

TaxonomyCodeLicense
Clinic/Center, Health Services261QH0100X—
Pharmacy, Community/Retail Pharmacy3336C0003X—
Internal Medicine, Infectious Disease primary207RI0200X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.