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NPI Code Detail

MEDICARE: HENDRIX INVESTMENT GROUP LLC

MEDICARE: HENDRIX INVESTMENT GROUP LLC
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
1251S00000XCommunity/Behavioral Health AgencyNV20121377667NV

General Provider Information

NPI Number : 1730508383
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENDRIX INVESTMENT GROUP LLC
Provider Business Mailing Address
First Line : 6671 LAS VEGAS BLVD S
Second Line : BLDG D STE 210
City : LAS VEGAS
State : NV
Zip : 89119-3273
Country : US
Telephone Number : 702-389-5060
Fax Number : 702-623-9254
Provider Business Practice Location Address
First Line : 6671 LAS VEGAS BLVD S
Second Line : BLDG D STE 210
City : LAS VEGAS
State : NV
Zip : 89119-3273
Country : US
Telephone Number : 702-389-5060
Fax Number : 702-623-9254
Authorized Official
Title or Position : MANAGING MEMBER
Name : ALISHA N HENDRIX
Credential :
Telephone Number : 702-389-5060
Provider Enumeration Date : 04/10/2014
Last Update Date : 04/10/2014

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Directions to “HENDRIX INVESTMENT GROUP LLC ” Practice Location

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