| Genesis Medical Clinic Llc | |
|
1372 Montezuma Ct Las Vegas NV 89119-4513 | |
| (702) 981-4012 | |
| Not Available |
| Full Name | Genesis Medical Clinic Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1372 Montezuma Ct, Las Vegas, Nevada |
| Authorized Official Name and Position | Yusleisy Collazo (OWNER) |
| Authorized Official Contact | 7029814012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medical Clinic Llc 1372 Montezuma Ct Las Vegas NV 89119-4513 Ph: (702) 981-4012 | Genesis Medical Clinic Llc 1372 Montezuma Ct Las Vegas NV 89119-4513 Ph: (702) 981-4012 |
| NPI Number | 1386389732 |
|---|---|
| Provider Enumeration Date | 04/30/2022 |
| Last Update Date | 04/30/2022 |
| Certification Date | 04/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386389732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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