Provider Demographics
NPI:1487655304
Name:ESGUERRA TEH, CYNTHIA (MD)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:
Last Name:ESGUERRA TEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:ESGUERRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2440 PROFESSIONAL COURT
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0839
Mailing Address - Country:US
Mailing Address - Phone:702-240-8155
Mailing Address - Fax:702-240-8161
Practice Address - Street 1:2440 PROFESSIONAL COURT
Practice Address - Street 2:SUITE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0839
Practice Address - Country:US
Practice Address - Phone:702-240-8155
Practice Address - Fax:702-240-8161
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8375207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2019309Medicaid
NV002019309Medicaid
NV002019309Medicaid
F90589Medicare UPIN
NV2019309Medicaid