Agustin, Tricia
Agustin, Tricia is an individual health care provider with primary practice located at 100 N Green Valley Pkwy Ste 239 , Henderson NV 89074-7704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Agustin, Tricia can be contacted via phone (702) 844-4841.Contact Information
Primary practice address
100 N Green Valley Pkwy Ste 239
Henderson NV 89074-7704
Phone: (702) 844-4841
Fax: (702) 844-4844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13714 | Nevada |
Profile Details
| NPI number | 1063691673 |
|---|---|
| LBN Legal business name | Agustin, Tricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2007 |
| Last updated | Oct 26th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063691673 | NPPES |
| Nevada | MEDICAID | 1063691673 |
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