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FABER III LTD. NPI 1275034621


NPI Information

NPI: 1275034621
Provider Name: FABER III, LTD.

Doing Business As: SUMMERLIN FUNCTIONAL MEDICINE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
8811 W SAHARA AVE STE 200
LAS VEGAS, NV
ZIP 89117
Phone: (702) 333-2627
Get Directions

FABER III, LTD. is a clinic center in Las Vegas, NV. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FABER III, LTD. NPI is 1275034621. The provider is registered as an organization entity type.
The provider Is Doing Business As Summerlin Functional Medicine.

The provider's business location address is:

8811 W SAHARA AVE STE 200
LAS VEGAS, NV
ZIP 89117-813
Phone: (702) 333-2627

The provider's authorized official is John M Bowman .
The authorized official title is President and has the following contact phone number (702) 333-2627.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 4/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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