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Organization
THERAPEUTIC INTEGRATED MEDICAL CARE INC
Active
Organization
THERAPEUTIC INTEGRATED MEDICAL CARE INC
Active
Parent organization
THERAPEUTIC INTEGRATED MEDICAL CARE INC
Other names
TIM CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
THERAPEUTIC INTEGRATED MEDICAL CARE INC
Authorized official
ROXANA VALETON (OWNER/PRESIDENT)
(305) 303-8108
Entity
Organization
Contact information
Practice address
916 W OWENS AVE STE D, LAS VEGAS, NV 89106-2516
(702) 617-6313
(702) 901-7224
Mailing address
PO BOX 71526, LAS VEGAS, NV 89170-1526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740770643
—
NV
05
—
1770085755
—
NV
Enumeration date
03/20/2019
Last updated
02/22/2021
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