Individual
ESTEBAN C HENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 S MARYLAND PKWY STE 512, LAS VEGAS, NV 89109-2427
(702) 685-7700
(702) 629-7800
Mailing address
284 E LAKE MEAD PKWY STE C, PMB 261, HENDERSON, NV 89015-6433
(702) 685-7700
(702) 629-7800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10908
NV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
10908
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00257864
RAILROAD CARRIER
—
Enumeration date
08/31/2006
Last updated
08/01/2021
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