Individual
PAUL LEYVA HAMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 W OAKEY BLVD, LAS VEGAS, NV 89102-1527
(702) 873-5110
(702) 873-8093
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 242-7308
(702) 240-8790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6333
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016590
—
NV
05
—
100506660
—
NV
05
—
1205809720
—
NV
01
—
6333
NV STATE LICENSE
NV
01
—
P00291534
RAILROAD MEDICARE
NV
Enumeration date
02/08/2006
Last updated
01/11/2019
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