# ALL STAR MEDICAL RESOURCES LLC

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

## Provider details

- **NPI number:** 1245924497
- **Authorized official:** TAJ REYES (CREDENTIALING)
- **Authorized official phone:** (907) 891-7812

## Contact information

- **Practice address:** 2626 S RAINBOW BLVD \# 203A, LAS VEGAS, NV 89146-4005
- **Practice address phone:** (877) 420-6372
- **Mailing address:** 2626 S RAINBOW BLVD \# 203A, LAS VEGAS, NV 89146-4005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 06/08/2023