Provider Demographics
NPI:1972194611
Name:VZ HEALTH AND WELLNESS
Entity type:Organization
Organization Name:VZ HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:HOUTROUW
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-277-1357
Mailing Address - Street 1:9420 STEELTREE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89143-1145
Mailing Address - Country:US
Mailing Address - Phone:702-808-9568
Mailing Address - Fax:
Practice Address - Street 1:330 S LOLA LN
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-0878
Practice Address - Country:US
Practice Address - Phone:702-277-1357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty