# DIRECT MD NEVADA LLC

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

## Provider details

- **NPI number:** 1285519199
- **Authorized official:** TRAVIS WINWARD (MANAGER)
- **Authorized official phone:** (208) 740-9076

## Contact information

- **Practice address:** 9510 W SAHARA AVE STE 225, LAS VEGAS, NV 89117-8812
- **Practice address phone:** (702) 843-1353
- **Mailing address:** 9510 W SAHARA AVE STE 225, LAS VEGAS, NV 89117-8812
- **Mailing address phone:** (702) 843-1353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2025
- **Last updated:** 08/08/2025