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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