Organization
HABAKKUK MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RELINDIS TAKU NP (AUTHORIZED OFFICIAL)
(702) 403-4770
Entity
Organization
Contact information
Practice address
8275 S EASTERN AVE SUITE 200, LAS VEGAS, NV 89123-2545
(702) 403-4770
Mailing address
8275 S EASTERN AVE SUITE 200, LAS VEGAS, NV 89123-2545
(702) 403-4770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/04/2022
Last updated
02/08/2023
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