Provider Demographics
NPI:1174998173
Name:HYDER THERAPEUTIC ALLIANCE PLLC
Entity type:Organization
Organization Name:HYDER THERAPEUTIC ALLIANCE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / M.D.
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:HYDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-444-4690
Mailing Address - Street 1:2248 VIA CADOMA
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-7817
Mailing Address - Country:US
Mailing Address - Phone:702-444-4690
Mailing Address - Fax:702-684-4470
Practice Address - Street 1:2248 VIA CADOMA
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-7817
Practice Address - Country:US
Practice Address - Phone:702-444-4690
Practice Address - Fax:702-684-4470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty