Healthcare Provider Details

I. General information

NPI: 1487655304
Provider Name (Legal Business Name): CYNTHIA ESGUERRA TEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA ESGUERRA M.D.

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 PROFESSIONAL COURT SUITE 110
LAS VEGAS NV
89128-0839
US

IV. Provider business mailing address

2440 PROFESSIONAL COURT SUITE 110
LAS VEGAS NV
89128-0839
US

V. Phone/Fax

Practice location:
  • Phone: 702-240-8155
  • Fax: 702-240-8161
Mailing address:
  • Phone: 702-240-8155
  • Fax: 702-240-8161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number8375
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: