Dtg II Pllc

NPI #1114708005 in Henderson, Nevada

Provider Information

NPI Number: 1114708005
Entity Type: Organization
Organization Name: Dtg II Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DTG II PLLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 9, 2023
Last Updated: Jan 4, 2024

Practice Location

Address: 2610 W HORIZON RIDGE PKWY STE 101
City: Henderson
State: Nevada
ZIP Code: 89052-2870
Phone: (800) 268-7713

Authorized Official

Name: KANDY MORRIS
Title: SVP OF MANAGED CARE
Phone: (725) 214-1202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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