Organization
FAMILY MEDICAL OF NEVADA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOEL GARCIA GONZALEZ (PRESIDENT)
(702) 643-6639
Entity
Organization
Contact information
Practice address
4230 N PECOS RD, LAS VEGAS, NV 89115-0196
(702) 643-6639
(702) 643-0208
Mailing address
4230 N PECOS RD, LAS VEGAS, NV 89115-0196
(702) 643-6639
(702) 643-0208
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
503621950
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505843
—
NV
Enumeration date
08/30/2005
Last updated
08/07/2009
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