Healing Hands Family Practice And Aesthetics Corp

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1141 E Glendale Ave Ste 1094, Phoenix, AZ 85020-5316

PECOS Enrollment

Based on the most recent information from CMS, provider Healing Hands Family Practice And Aesthetics Corp does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1144894395
Provider Type
Organization
Full Name
Healing Hands Family Practice And Aesthetics Corp

Subpart
No
Enumeration Date
5/13/2021
Last Updated
8/5/2024

Contact Information

Practice Location

1141 E Glendale Ave Ste 1094, Phoenix, AZ 85020-5316

(832) 818-6247

Unlisted Fax

Mailing Location

1141 E Glendale Ave Ste 1094, Phoenix, AZ 85020-5316

(832) 818-6247

Unlisted Fax

Authorized Official

Pinilla, Alvaro (Medical Director)

(832) 275-2224

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer

Healing Hands Family Practice And Aesthetics Corp

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Cinalli, Maria Veronica

Dorn, Blair

Mintz, Rose Marie

Beaumont, Julie

Amanda Matje Pa-C Pllc

Langford, Sydney Jane

Lopez, Jose

Allison, Crystal Dawn

Underwood, Kooper Harrison

Arvizu, Oksana Alicia