Healthcare Provider Details

I. General information

NPI: 1770727737
Provider Name (Legal Business Name): VINCENT D HO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: VINCENT D HO DO

II. Dates (important events)

Enumeration Date: 04/21/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 W CHARLESTON BLVD
LAS VEGAS NV
89102-2227
US

IV. Provider business mailing address

284C E LAKE MEAD PKWY STE 172
HENDERSON NV
89015-5511
US

V. Phone/Fax

Practice location:
  • Phone: 702-671-6437
  • Fax:
Mailing address:
  • Phone: 702-685-0674
  • Fax: 702-566-4575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1630
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: