Organization
702 FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IREDILA TIMAGOS BYNUM (OWNER)
(702) 389-5700
Entity
Organization
Contact information
Practice address
3468 E SAHARA AVE STE 160, LAS VEGAS, NV 89104-4827
(702) 389-5700
Mailing address
3468 E SAHARA AVE STE 160, LAS VEGAS, NV 89104-4827
(702) 389-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/16/2024
Last updated
11/18/2024
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