Organization
1ST CLARK COUNTY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREZILDA MAE CABO (CEO)
(702) 445-1196
Entity
Organization
Contact information
Practice address
1085 HWY 95 STE E, HAWTHORNE, NV 89415-7771
(702) 445-1196
Mailing address
1085 HWY 95 STE E, HAWTHORNE, NV 89415-7771
(702) 445-1196
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/04/2026
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