BAMBOO FAMILY CLINIC LLC


Address: 98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015-6444
Phone: 7024333038

BAMBOO FAMILY CLINIC LLC (NPI# 1881196012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881196012
Entity Type Organization
Organization Name BAMBOO FAMILY CLINIC LLC
Practice Address 98 E Lake Mead Pkwy Ste 307
Henderson
NV 89015-6444
Mailing Address Po Box 13603
Las Vegas
NV 89112-1603
Practice Telephone 7024333038
Practice Fax Number 7029491975
Mailing Telephone 7024333038
Enumeration Date 2018-03-03
Last Update Date 2018-03-03
Authorized Official Name SHIRLEY HOLDEMAN (OWNER)
Authorized Official Telephone 7024333038
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
N 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Office Location

Street Address 98 E LAKE MEAD PKWY STE 307
City HENDERSON
State NV
Zip Code 89015-6444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710945092 Henderson Ob/gyn LLC Obstetrics & Gynecology 98 E Lake Mead Pkwy Ste 307, Suite 307, Henderson, NV 89015-6444 2006-05-03
1427246578 Christine T Estepa Family Medicine 98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015-6444 2007-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225503238 Holly Abarca Home Health Aide 212 Shoshone Ln, Henderson, NV 89015 2018-10-05
1184111890 Pain Center of Henderson LLC Pain Medicine 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 2018-04-18
1124528963 Edson Jeam Arredondo Chore Provider 160 E Horison Dr Ste A, Henderson, NV 89015 2018-02-19
1558879569 Robin Harvey Rehabilitation Practitioner 203 S. Water St # 200, Henderson, NV 89015 2018-01-12
1477064368 Chris Mcdonald Counselor 220 E Horizon Drive, Suite H, Henderson, NV 89015 2017-10-18
1649792565 David Blake Case Manager/Care Coordinator 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 2017-07-12
1457726135 Ozioma Chiebuka Nwosu Nurse Practitioner 200 E Horizon Dr Ste A, Henderson, NV 89015 2015-12-07
1770962839 Myesha Nicole Butler Counselor 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 2015-05-22
1629469424 Felicia Suberville Behavioral Analyst 236 Red Horizon Terrace, Henderson, NV 89015 2015-02-16
1144618349 Dinesh Bharwani Physician Assistant 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 2014-12-23
Find all providers in zip 89015

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669028106 Harold Zilberman, Md, Chartered Pediatrics 880 Seven Hills Dr Ste 100, Henderson, NV 89052-4372 2019-08-12
1740747542 Payton Cerda Pediatrics 2510 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052-1600 2019-02-27
1922494764 Jennifer Romo Santistevan Pediatrics 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 2015-04-08
1679852891 Jung Y. Hahr Pediatrics 969 Wagner Valley St, Henderson, NV 89052-5064 2011-08-04
1174755276 Placida Martinez Pediatrics 247 Clemson St, Henderson, NV 89074-5484 2009-08-22
1306029830 Mdfamily Medical Group Pediatrics 152 Zeb Robinson Rd, Henderson, NC 27537-3577 2007-12-06
1346374238 Susan R Fernandez PC Pediatrics 2621 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2895 2007-03-15
1750422481 Jagannath S. Surpure, M.d.p.c. Pediatrics 1600 W Sunset Rd, Suite A, Henderson, NV 89014-2654 2007-02-08
1184774093 James Allen Wayne Jr. Pediatrics 451 Ruin Creek Rd Ste 101, Henderson, NC 27536-5920 2007-01-11
1982763108 Hesham Sirsy Md Ltd Pediatrics 10950 S Eastern Ave, #100, Henderson, NV 89052-4970 2006-12-06
Find all providers in HENDERSON

Competitor

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City HENDERSON
Zip Code 89015

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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