Organization
FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN JAUREGUI APRN (CEO)
(702) 266-7277
Entity
Organization
Contact information
Practice address
3110 S VALLEY VIEW BLVD STE 103, LAS VEGAS, NV 89102-8388
(702) 266-7277
Mailing address
3110 S VALLEY VIEW BLVD STE 103, LAS VEGAS, NV 89102-8388
(702) 266-7277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NV
261QM1300X
Multi-Specialty Clinic/Center
—
NV
261QP2300X
Primary Care Clinic/Center
Primary
—
NV
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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