Organization
TOTAL FAMILY CARE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADLIN ELLYIN (OFFICE MANAGER)
(702) 233-4555
Entity
Organization
Contact information
Practice address
3280 N RAINBOW BLVD, 110, LAS VEGAS, NV 89108
(702) 233-4555
(702) 233-1081
Mailing address
3280 N RAINBOW BLVD, 110, LAS VEGAS, NV 89108-5011
(702) 233-4555
(702) 233-1081
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019551
—
NV
01
—
E95681
UPIN
NV
Enumeration date
06/03/2011
Last updated
07/02/2012
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