Organization
PROACTIVE CLINICAL PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR VAZQUEZ (CEO)
(317) 941-7338
Entity
Organization
Contact information
Practice address
8455 KEYSTONE XING STE 300, INDIANAPOLIS, IN 46240-4353
(317) 941-7338
(317) 969-6727
Mailing address
8455 KEYSTONE XING STE 300, INDIANAPOLIS, IN 46240-4353
(317) 941-7338
(317) 969-6727
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
05/14/2026
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