1174757041 NPI number — PATIENTS FIRST MEDICAL LLC

Table of content: (NPI 1174757041)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174757041 NPI number — PATIENTS FIRST MEDICAL LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PATIENTS FIRST MEDICAL LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174757041
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10511 BROADHEAD CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89135
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-250-6161
Provider Business Mailing Address Fax Number:
702-382-5388

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10511 BROADHEAD CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89135-2323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-250-6161
Provider Business Practice Location Address Fax Number:
702-382-5388
Provider Enumeration Date:
05/07/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HOUSHAN
Authorized Official First Name:
IYAD
Authorized Official Middle Name:
G
Authorized Official Title or Position:
SOLD MBR
Authorized Official Telephone Number:
17752506161

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  10568 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1497773287 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".