Organization
PORFERIA MONTESCLAROS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PORFERIA D MONTESCLAROS MD (OWNER)
(702) 253-1173
Entity
Organization
Contact information
Practice address
2920 N GREEN VALLEY PKWY, BLDG 3 SUITE 312, HENDERSON, NV 89014-0406
(702) 253-1173
(702) 253-1468
Mailing address
2920 N GREEN VALLEY PKWY, BLDG 3 SUITE 312, HENDERSON, NV 89014-0406
(702) 253-1173
(702) 253-1468
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11575
NV
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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