Provider Demographics
NPI:1942911599
Name:HEALTHT LLC
Entity Type:Organization
Organization Name:HEALTHT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-990-0622
Mailing Address - Street 1:2450 W HORIZON RIDGE PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2722
Mailing Address - Country:US
Mailing Address - Phone:702-990-0622
Mailing Address - Fax:702-938-1473
Practice Address - Street 1:2450 W HORIZON RIDGE PKWY STE 150
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2722
Practice Address - Country:US
Practice Address - Phone:702-990-0622
Practice Address - Fax:702-938-1473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty