institution
Guillermo Fraga, M.d. A Professional Corporation
Primary Care Clinic/Center in Henderson, Nevada
NPI 1992992978

Guillermo Fraga, M.d. A Professional Corporation is a Primary Care Clinic/Center based in Henderson, NV and is specialized in Primary Care. Guillermo Fraga, M.d. A Professional Corporation practices in Henderson, NV. The NPI Number for Guillermo Fraga, M.d. A Professional Corporation is 1992992978 and holds a License No. 7867 (Nevada).

The current practice location address for Guillermo Fraga, M.d. A Professional Corporation is 2649 Wigwam Pkwy, Henderson, NV and can be reached out via phone at 702-452-3002.

Location: 2649 Wigwam Pkwy, Henderson, NV, 89074-7310
institution
Provider Profile Details
NPI Number
1992992978
Provider Name
Guillermo Fraga, M.d. A Professional Corporation
Credential
Provider Entity Type
Organization
Address
2649 Wigwam Pkwy, Henderson, NV, 89074-7310
Phone Number
702-452-3002
Fax Number
Provider Enumeration Date
10/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NV02663 01 NV MEDICARE EDI
002019808 05 NV
101047 01 NV GROUP PIN
institution
Provider Business Practice Location Address Details
Address
2649 Wigwam Pkwy
City
State
Zip
89074-7310
Phone Number
702-452-3002
Fax Number
person
Provider Business Mailing Address Details
Address
2649 Wigwam Pkwy
City
State
Zip
89074-7310
Phone Number
702-452-3002
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
7867 (Nevada)
Definition
Definition to come...
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