Tricia Agustin, MD
Family Medicine in Henderson, Nevada
1063691673- 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, MD is a Family Medicine based in Henderson, NV. Tricia Agustin, MD holds the professional credentials of MD. The NPI number for Tricia Agustin, MD is 1063691673 and holds license No. 13714 (NV). The current practice location address is 100 N Green Valley Pkwy Ste 239, Henderson, NV 89074-7704 and the office can be reached by phone at 702-844-4841 and by fax at 702-844-4844. The NPI was assigned on October 31, 2007 and the record was last updated in NPPES on October 26, 2021.
●Provider Profile Details
- NPI Number
- 1063691673
- Provider Name
- Tricia Agustin
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Enumeration Date
- October 31, 2007
- Last Update Date
- October 26, 2021
- Certification Date
- October 26, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 100 N Green Valley Pkwy Ste 239
Henderson, NV 89074-7704 - City
- Henderson
- State
- Nevada
- ZIP
- 89074-7704
- Country
- US
- Phone Number
- 702-844-4841
- Fax Number
- 702-844-4844
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 13714 | NV |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Henderson →?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) and holds license No. 13714 (NV).
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 at npiregistry.cms.hhs.gov.