Organization
FAMILY HEALTH CLINIC
Active
Organization
FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNANTE VILLAHERMOSA (OWNER)
(702) 885-6457
Entity
Organization
Contact information
Practice address
6330 W FLAMINGO RD UNIT 106, LAS VEGAS, NV 89103-2234
(702) 918-2800
(702) 947-5352
Mailing address
6330 W FLAMINGO RD UNIT 106, LAS VEGAS, NV 89103-2234
(702) 918-2800
(702) 947-5352
Taxonomy
Speciality
Code
Description
License number
State
261QA3000X
Augmentative Communication Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250023170
—
NV
Enumeration date
03/18/2025
Last updated
03/18/2025
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