Provider Demographics
NPI:1225601925
Name:DOCTOR'S HEALTH NETWORK, INC.
Entity Type:Organization
Organization Name:DOCTOR'S HEALTH NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOVEREAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-979-9910
Mailing Address - Street 1:5235 S DURANGO DR STE 103
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-0165
Mailing Address - Country:US
Mailing Address - Phone:702-979-9910
Mailing Address - Fax:702-552-0344
Practice Address - Street 1:8352 W WARM SPRINGS RD FL 3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3628
Practice Address - Country:US
Practice Address - Phone:702-851-7287
Practice Address - Fax:702-851-7286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty