Provider Demographics
NPI:1083356588
Name:B & H MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:B & H MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-903-5124
Mailing Address - Street 1:7000 PARADISE RD APT 1164
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4496
Mailing Address - Country:US
Mailing Address - Phone:702-903-5124
Mailing Address - Fax:
Practice Address - Street 1:7000 PARADISE RD APT 1164
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4496
Practice Address - Country:US
Practice Address - Phone:702-903-5124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty