| Medtrans | |
|
5412 Boulder Hwy Las Vegas NV 89122-6039 | |
| (702) 291-7121 | |
| Not Available |
| Full Name | Medtrans |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5412 Boulder Hwy, Las Vegas, Nevada |
| Authorized Official Name and Position | Frances Malinis (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7024107825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medtrans 3312 W Charleston Blvd Las Vegas NV 89102-1829 Ph: (702) 410-7825 | Medtrans 5412 Boulder Hwy Las Vegas NV 89122-6039 Ph: (702) 291-7121 |
| NPI Number | 1417410416 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 04/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417410416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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