- Practice location
- 100 N Green Valley Pkwy Ste 239, Henderson, NV 89074-7704
- Phone
- 702-844-4841
- Fax
- 702-844-4844
- Last updated
- October 26, 2021
Tricia Agustin is a Family Medicine based in Henderson, NV. Tricia Agustin practices in Henderson, NV and has the professional credentials of MD. The NPI Number for Tricia Agustin is 1063691673 and holds a License No. 13714 (NV). The current practice location address for Tricia Agustin is 100 N Green Valley Pkwy Ste 239, Henderson, NV 89074-7704 and can be reached out via phone at 702-844-4841 and via fax at 702-844-4844.
Provider Profile Details
- NPI Number
- 1063691673
- Provider Name
- Tricia Agustin
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 N Green Valley Pkwy Ste 239, Henderson, NV 89074-7704
- Phone Number
- 702-844-4841
- Fax Number
- 702-844-4844
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 31, 2007
- Last Update Date
- October 26, 2021
- Certification Date
- October 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 N Green Valley Pkwy Ste 239
Henderson, NV 89074-7704 - City
- Henderson
- State
- Nevada
- Zip
- 89074-7704
- Phone Number
- 702-844-4841
- Fax Number
- 702-844-4844
Provider Business Mailing Address Details
- Address
- 2370 Corporate Cir Ste 300
Henderson, NV 89074-7760 - City
- Henderson
- State
- NV
- Zip
- 89074-7760
- Phone Number
- 702-910-3950
- Fax Number
- 702-778-2264
License Information
- License Number
- 13714
- License State
- NV
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tricia Agustin, MD?
The NPI number of Tricia Agustin, MD is 1063691673. It was assigned on October 31, 2007 and is currently active in the NPPES registry.
What is the specialty of Tricia Agustin, MD?
Tricia Agustin, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NV under license number 13714.
Where does Tricia Agustin, MD practice?
The practice location is 100 N Green Valley Pkwy Ste 239, Henderson, NV 89074-7704. The office can be reached at 702-844-4841 (phone) or 702-844-4844 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063691673 directly on the NPPES registry website.