MEDICARE: QUALITY HEALTH PARTNERS INC

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	2083P0901X	Public Health & General Preventive Medicine Physician
2	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1760043723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY HEALTH PARTNERS INC

Provider Business Mailing Address
First Line	:	2341 RENAISSANCE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6191
Country	:	US
Telephone Number	:	888-959-5192
Fax Number	:

Provider Business Practice Location Address
First Line	:	2341 RENAISSANCE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6191
Country	:	US
Telephone Number	:	888-959-5192
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	THERESA HENRY
Credential	:	PAC
Telephone Number	:	888-959-5192

Provider Enumeration Date	:	06/21/2019
Last Update Date	:	11/18/2019

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Directions to “QUALITY HEALTH PARTNERS INC ” Practice Location

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