Healthcare Provider Details

I. General information

NPI: 1386298214
Provider Name (Legal Business Name): TRUE AESTHETICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 07/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 LAS VEGAS BLVD S
HENDERSON NV
89044-9506
US

IV. Provider business mailing address

455 E PEBBLE RD # 230211
LAS VEGAS NV
89123-3084
US

V. Phone/Fax

Practice location:
  • Phone: 702-913-6333
  • Fax:
Mailing address:
  • Phone: 702-913-6333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ESTEE L SCHMIDT
Title or Position: MANAGING MEMBER
Credential: RN
Phone: 702-913-6333