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Organization

MED-CARE PROVIDERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OSMEL VILLAREAL (DIRECTOR OF BUSINESS OPERATIONS)
(702) 000-0000
Entity
Organization

Contact information

Practice address
2121 E FLAMINGO RD STE 218, LAS VEGAS, NV 89119-5124
(702) 444-1002
Mailing address
2121 E FLAMINGO RD STE 218, LAS VEGAS, NV 89119-5124
(702) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
208VP0000X
Pain Medicine Physician
261QM0850X
Adult Mental Health Clinic/Center
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
11/09/2023
Last updated
08/26/2025
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