# PACE HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1306230206
- **Authorized official:** JAY BOWMAN (EXCECUTIVE DIRECTOR)
- **Authorized official phone:** (951) 514-5886

## Contact information

- **Practice address:** 9360 NETHERFIELD AVE, LAS VEGAS, NV 89178-5535
- **Practice address phone:** (951) 514-5886
- **Practice address fax:** (702) 638-7706
- **Mailing address:** 9360 NETHERFIELD AVE, LAS VEGAS, NV 89178-5535
- **Mailing address phone:** (951) 514-5886
- **Mailing address fax:** (702) 638-7706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NV | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NV | — |
| 208D00000X | General Practice Physician | — | NV | Yes |
| 208M00000X | Hospitalist Physician | — | NV | — |
| 261Q00000X | Clinic/Center | — | NV | — |
| 363L00000X | Nurse Practitioner | — | NV | — |

## Other

- **Enumeration date:** 03/27/2015
- **Last updated:** 04/27/2015