| Concierge Care Physicians, Llp | |
|
2450 W Horizon Ridge Pkwy Ste 150 Henderson NV 89052-2722 | |
| (702) 990-0622 | |
| (702) 938-1473 |
| Full Name | Concierge Care Physicians, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2450 W Horizon Ridge Pkwy Ste 150, Henderson, Nevada |
| Authorized Official Name and Position | Russell N. Neibaur (PHYSICIAN) |
| Authorized Official Contact | 7029900622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Care Physicians, Llp 2450 W Horizon Ridge Pkwy Ste 150 Henderson NV 89052-2722 Ph: (702) 990-0622 | Concierge Care Physicians, Llp 2450 W Horizon Ridge Pkwy Ste 150 Henderson NV 89052-2722 Ph: (702) 990-0622 |
| NPI Number | 1104850163 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 04/19/2016 |
| Medicare PECOS PAC ID | 3678578051 |
|---|---|
| Medicare Enrollment ID | O20060918000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104850163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Russell N Neibaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093788051 PECOS PAC ID: 9436148228 Enrollment ID: I20040507000641 |
| Provider Name | Justin W Terry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235453093 PECOS PAC ID: 2769622166 Enrollment ID: I20130708000703 |
| Provider Name | Brandon D Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821476797 PECOS PAC ID: 3779892120 Enrollment ID: I20180530000620 |
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