NPI Registry.org

Identity Hormones Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
IDENTITY HORMONES LLC13266423722023-11-13

The organization Identity Hormones Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1326642372. Registration indicates Identity Hormones Llc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine: Adult Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine Adult Medicine, Allopathic & Osteopathic Physicians) (Family Medicine, ) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Primary Care, ) (Primary Care/Family Planning/APRN/PA, ) (Clinic/Center Primary Care, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationIDENTITY HORMONES LLC
Other Provider OrganizationIDENTITY HORMONES LLC
Practice Office Address100 E CAMELBACK RD STE 108
PHOENIX, AZ US
Practice Office Telephone9017573643
Mailing Address100 E CAMELBACK RD STE 108
PHOENIX, AZ 850121061 US
Authorized OfficialTEAH MICHELLE SMITH, CREDENTIALING M
9012053999
HPT Codes
CodePractice
License No
State
207QA0505X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine
Family Medicine: Adult Medicine

Primary Care/Family Planning/APRN/PA

Family Medicine Adult Medicine
Allopathic & Osteopathic Physicians
Family Medicine
261QP2300X
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Primary Care

Primary Care/Family Planning/APRN/PA

Clinic/Center Primary Care
Ambulatory Health Care Facilities
Clinic/Center
193200000X MULTGroup Code
OPI Codes
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