# THERAPEUTIC INTEGRATED MEDICAL CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THERAPEUTIC INTEGRATED MEDICAL CARE INC
- **Other names:** TIM CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659831261
- **Legal business name:** THERAPEUTIC INTEGRATED MEDICAL CARE INC
- **Authorized official:** ROXANA VALETON (OWNER/PRESIDENT)
- **Authorized official phone:** (305) 303-8108

## Contact information

- **Practice address:** 916 W OWENS AVE STE D, LAS VEGAS, NV 89106-2516
- **Practice address phone:** (702) 617-6313
- **Practice address fax:** (702) 901-7224
- **Mailing address:** PO BOX 71526, LAS VEGAS, NV 89170-1526

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2019
- **Last updated:** 02/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1740770643 | — | NV |
| 05 | — | 1770085755 | — | NV |