# 1ST CLARK COUNTY MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154022523
- **Authorized official:** GREZILDA MAE CABO (CEO)
- **Authorized official phone:** (702) 445-1196

## Contact information

- **Practice address:** 4570 S EASTERN AVE STE 26, LAS VEGAS, NV 89119-6183
- **Practice address phone:** (702) 476-3345
- **Practice address fax:** (702) 920-8596
- **Mailing address:** 4570 S EASTERN AVE STE 26, LAS VEGAS, NV 89119-6183
- **Mailing address phone:** (702) 445-1196
- **Mailing address fax:** (702) 920-8596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2023
- **Last updated:** 09/30/2026