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NPI Code Detail

MEDICARE: HENRY THORNS II

MEDICARE: HENRY THORNS II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult CompanionNV
2374U00000XHome Health AideNV
3372500000XChore ProviderNV

General Provider Information

NPI Number : 1306498456
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY THORNS II
Provider Business Mailing Address
First Line : 8045 MISTY CANYON AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3683
Country : US
Telephone Number : 702-826-8042
Fax Number :
Provider Business Practice Location Address
First Line : 8045 MISTY CANYON AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3683
Country : US
Telephone Number : 702-329-4147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2019
Last Update Date : 07/09/2019

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Directions to “ HENRY THORNS II ” Practice Location

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