1316059694 NPI number — GARCIA, HO, KLOSE AND MCGAW MEDICAL GROUP LT

Table of content: (NPI 1316059694)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316059694 NPI number — GARCIA, HO, KLOSE AND MCGAW MEDICAL GROUP LT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GARCIA, HO, KLOSE AND MCGAW MEDICAL GROUP LT
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:
WOMEN'S HEALTH SPECIALISTS OF NEVADS
Provider Other Organization Name Type Code:
3
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:
1316059694
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/12/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 30053
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89520-3053
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-688-5615
Provider Business Mailing Address Fax Number:
775-688-5626

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 EAST SECOND ST.
Provider Second Line Business Practice Location Address:
SUITE 408
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-688-5881
Provider Business Practice Location Address Fax Number:
775-688-5626
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCGAW
Authorized Official First Name:
TERRENCE
Authorized Official Middle Name:
GORDON
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
775-688-5881

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207VG0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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