Healthcare Provider Details

I. General information

NPI: 1851154561
Provider Name (Legal Business Name): THOMAS J HESS MD CONCIERGE MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4880 WYNN RD
LAS VEGAS NV
89103-5406
US

IV. Provider business mailing address

4880 WYNN RD
LAS VEGAS NV
89103-5406
US

V. Phone/Fax

Practice location:
  • Phone: 702-430-3820
  • Fax: 702-462-2578
Mailing address:
  • Phone: 702-430-3820
  • Fax: 702-462-2578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: THOMAS J HESS
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 702-430-3820