Organization
WELL CARE MEDICAL GROUP OF NORTH LAS VEGAS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NENETH SUAREZ (PRESIDENT)
(702) 764-4868
Entity
Organization
Contact information
Practice address
4130 N MLK BLVD STE A, NORTH LAS VEGAS, NV 89032-0299
(702) 764-4868
Mailing address
6565 SPENCER ST STE 102, LAS VEGAS, NV 89119-3924
(725) 275-6970
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/07/2022
Last updated
07/17/2024
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