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Organization

ABIDE HEALTH MEDICAL A PROFESSIONAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FIDEL CRUZ (PRESIDENT)
(725) 205-1578
Entity
Organization

Contact information

Practice address
6847 WEST CHARLESTON BLVD. SUITE-B, LAS VEGAS, NV 89117
(725) 205-1578
(725) 485-3749
Mailing address
6847 WEST CHARLESTON BLVD. SUITE-B, LAS VEGAS, NV 89117
(725) 205-1578
(725) 485-3749

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250030493
NV
Enumeration date
08/24/2023
Last updated
06/25/2025
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