| Nevada Neurologic Care | |
|
2110 E Flamingo Rd Ste 201 Las Vegas NV 89119-5192 | |
| (702) 800-7831 | |
| (877) 409-2014 |
| Full Name | Nevada Neurologic Care |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2110 E Flamingo Rd Ste 201, Las Vegas, Nevada |
| Authorized Official Name and Position | Edgar Jay B Evangelista (PRESIDENT) |
| Authorized Official Contact | 7028007831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Neurologic Care 1452 W Horizon Ridge Pkwy # 566 Henderson NV 89012-4422 Ph: (702) 800-7831 | Nevada Neurologic Care 2110 E Flamingo Rd Ste 201 Las Vegas NV 89119-5192 Ph: (702) 800-7831 |
| NPI Number | 1396028619 |
|---|---|
| Provider Enumeration Date | 09/22/2011 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 9537334628 |
|---|---|
| Medicare Enrollment ID | O20111220000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396028619 | NPI | - | NPPES |
| Provider Name | Edgar Jay B Evangelista |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669693081 PECOS PAC ID: 7315990959 Enrollment ID: I20070904000333 |
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