Organization
PHYSICIANS HEALTH NET, INC.
Active
Organization
PHYSICIANS HEALTH NET, INC.
Active
Other names
CENTRO MEDICO FAMILIAR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL MIRCHOU M.D. (CFO)
(702) 399-2345
Entity
Organization
Contact information
Practice address
865 N EASTERN AVE, LAS VEGAS, NV 89101-2312
(702) 399-2345
Mailing address
865 N EASTERN AVE, LAS VEGAS, NV 89101-2312
(702) 399-2345
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
9244
NV
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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