# PROACTIVE CLINICAL PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366934242
- **Authorized official:** HECTOR VAZQUEZ (CEO)
- **Authorized official phone:** (317) 941-7338

## Contact information

- **Practice address:** 8455 KEYSTONE XING STE 300, INDIANAPOLIS, IN 46240-4353
- **Practice address phone:** (317) 941-7338
- **Practice address fax:** (317) 969-6727
- **Mailing address:** 8455 KEYSTONE XING STE 300, INDIANAPOLIS, IN 46240-4353
- **Mailing address phone:** (317) 941-7338
- **Mailing address fax:** (317) 969-6727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 05/14/2026