Organization
MEDICAL GROUP AT SUN CITY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL NGUYEN (CHIEF OPERATING OFFICER)
(214) 649-4686
Entity
Organization
Contact information
Practice address
2601 N TENAYA WAY, LAS VEGAS, NV 89128-0427
(702) 240-8155
(702) 240-8161
Mailing address
2601 N TENAYA WAY, LAS VEGAS, NV 89128-0427
(702) 240-8155
(702) 240-8161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509533
—
NV
Enumeration date
06/18/2007
Last updated
09/21/2021
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