MEDICARE: GLENN J HIME M.D.

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
1	207L00000X	Anesthesiology Physician	7386	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407824311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLENN J HIME M.D.

Provider Business Mailing Address
First Line	:	6655 W SAHARA AVE
Second Line	:	SUITE B 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0842
Country	:	US
Telephone Number	:	702-222-3238
Fax Number	:	702-221-2231

Provider Business Practice Location Address
First Line	:	6655 W SAHARA AVE
Second Line	:	SUITE B 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0842
Country	:	US
Telephone Number	:	702-222-3238
Fax Number	:	702-221-2231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/05/2016

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Directions to “ GLENN J HIME M.D.” Practice Location

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