MEDICARE: VINCENT D HO DO

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	390200000X	Student in an Organized Health Care Education/Training Program
2	2084P0800X	Psychiatry Physician	1630	NV

General Provider Information

NPI Number	:	1770727737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT D HO DO

Provider Business Mailing Address
First Line	:	284C E LAKE MEAD PKWY STE 172
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-5511
Country	:	US
Telephone Number	:	702-685-0674
Fax Number	:	702-566-4575

Provider Business Practice Location Address
First Line	:	2040 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2227
Country	:	US
Telephone Number	:	702-671-6437
Fax Number	:

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

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	07/21/2022

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Directions to “ VINCENT D HO DO” Practice Location

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