# PHENIX CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1487400099
- **Authorized official:** ELIEZER LEON CUELLAR (MANAGER)
- **Authorized official phone:** (702) 515-9926

## Contact information

- **Practice address:** 9222 SNOW FLOWER AVE, LAS VEGAS, NV 89147-6843
- **Practice address phone:** (702) 624-6292
- **Mailing address:** 9222 SNOW FLOWER AVE, LAS VEGAS, NV 89147-6843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2024
- **Last updated:** 04/24/2024