Guillermo Fraga, M.D. A Professional Corporation
LBN: Guillermo Fraga, M.D. A Professional Corporation
Guillermo Fraga, M.D. A Professional Corporation is an health care organization with primary practice located at 2649 Wigwam Pkwy Suite 100, Henderson NV 89074-7310. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Guillermo Fraga, M.D. A Professional Corporation can be contacted via phone (702) 452-3002, or through Fraga, Guillermo Hugo via phone (702) 452-3002.
Contact Information
Primary practice address
2649 Wigwam Pkwy Suite 100
Henderson NV 89074-7310
Phone: (702) 452-3002
Fax:
Website:
Authorized official contact:
Name: Fraga, Guillermo Hugo Doctor of Medicine (MD)
Phone: (702) 452-3002
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 7867 | Nevada |
Profile Details
| NPI number | 1992992978 |
|---|---|
| LBN Legal business name | Guillermo Fraga, M.D. A Professional Corporation |
| DBA Doing business as | |
| Authorized official | Fraga, Guillermo Hugo Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2007 |
| Last updated | Oct 3rd, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992992978 | NPPES |
| Nevada | Other | NV02663 | MEDICARE EDI |
| Nevada | MEDICAID | 002019808 | MEDICARE EDI |
| Nevada | Other | 101047 | MEDICARE EDI |
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