Healthcare Provider Details

I. General information

NPI: 1760043723
Provider Name (Legal Business Name): QUALITY HEALTH PARTNERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2019
Last Update Date: 11/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2341 RENAISSANCE DR
LAS VEGAS NV
89119-6191
US

IV. Provider business mailing address

2341 RENAISSANCE DR
LAS VEGAS NV
89119-6191
US

V. Phone/Fax

Practice location:
  • Phone: 888-959-5192
  • Fax:
Mailing address:
  • Phone: 888-959-5192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THERESA HENRY
Title or Position: CEO
Credential: PAC
Phone: 888-959-5192