Provider Demographics
NPI:1770727737
Name:HO, VINCENT D (DO)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:D
Last Name:HO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:VINCENT
Other - Middle Name:D
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:284C E LAKE MEAD PKWY STE 172
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-5511
Mailing Address - Country:US
Mailing Address - Phone:702-685-0674
Mailing Address - Fax:702-566-4575
Practice Address - Street 1:2040 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2227
Practice Address - Country:US
Practice Address - Phone:702-671-6437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NV16302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program