Organization
COMPLETE FAMILY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC DAVIS TAYLOR (CFO)
(212) 444-5218
Entity
Organization
Contact information
Practice address
600 WHITNEY RANCH DR, SUITE #B-11, HENDERSON, NV 89014-2611
(702) 558-6366
(702) 558-6364
Mailing address
600 WHITNEY RANCH DR, SUITE #B-11, HENDERSON, NV 89014-2611
(702) 558-6366
(702) 558-6364
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
973DL
NV
207Q00000X
Family Medicine Physician
Primary
973DL
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558317354
—
NV
01
—
973DL
MEDICAL LIC
NV
Enumeration date
04/20/2016
Last updated
04/20/2016
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