Organization
XECUTIVE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL HERRERA (PRESIDENT)
(951) 741-5554
Entity
Organization
Contact information
Practice address
4760 S PECOS RD, SUITE 103, LAS VEGAS, NV 89121-5828
(702) 948-5000
(702) 948-5001
Mailing address
4760 S PECOS RD, SUITE 103, LAS VEGAS, NV 89121-5828
(702) 948-5000
(702) 948-5001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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