| Medtrans Behavioral Nevada Casal Pllc | |
|
5446 Boulder Hwy Ste G3 Las Vegas NV 89122-6069 | |
| (702) 291-7121 | |
| Not Available |
| Full Name | Medtrans Behavioral Nevada Casal Pllc |
|---|---|
| Speciality | Pharmacist - Pharmacotherapy |
| Location | 5446 Boulder Hwy Ste G3, Las Vegas, Nevada |
| Authorized Official Name and Position | Roya Beuokaghaei (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7024107825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medtrans Behavioral Nevada Casal Pllc 3312 W Charleston Blvd Las Vegas NV 89102-1829 Ph: (702) 410-7825 | Medtrans Behavioral Nevada Casal Pllc 5446 Boulder Hwy Ste G3 Las Vegas NV 89122-6069 Ph: (702) 291-7121 |
| NPI Number | 1295106987 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295106987 | NPI | - | NPPES |
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