Organization
AGAPITO B RACOMA MD LLC
Active
Organization
AGAPITO B RACOMA MD LLC
Active
Other names
Associated Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
AGAPITO RACOMA MD (PRESIDENT OWNER)
(702) 239-7905
Entity
Organization
Contact information
Practice address
7000 SPRING MOUNTAIN RD, LAS VEGAS, NV 89117-3816
(702) 239-7905
(775) 751-0405
Mailing address
889 S RAINBOW BLVD, #134, LAS VEGAS, NV 89145-6238
(775) 751-0405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6553
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508872
—
NV
Enumeration date
11/02/2006
Last updated
08/30/2016
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