Healthcare Provider Details

I. General information

NPI: 1326535410
Provider Name (Legal Business Name): HEALING HANDS OF NEBRASKA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2018
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 N 117TH AVE
OMAHA NE
68164-3670
US

IV. Provider business mailing address

PO BOX 7
BOYS TOWN NE
68010-0007
US

V. Phone/Fax

Practice location:
  • Phone: 402-970-9515
  • Fax: 402-227-8245
Mailing address:
  • Phone: 402-370-9515
  • Fax: 402-227-8245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number27722
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number27722
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DEMETRIO JUAN AGUILA III
Title or Position: SURGEON
Credential: MD
Phone: 402-370-9515