| Azure Integrated Care | |
|
1701 S Bearden Dr Suite 201 Las Vegas NV 89106 | |
| (702) 685-3428 | |
| (702) 476-9434 |
| Full Name | Azure Integrated Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 S Bearden Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Tonya Rushing (CONSULTANT) |
| Authorized Official Contact | 7022023431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azure Integrated Care Po Box 36605 Las Vegas NV 89133 Ph: (702) 202-3431 | Azure Integrated Care 1701 S Bearden Dr Suite 201 Las Vegas NV 89106 Ph: (702) 685-3428 |
| NPI Number | 1124341755 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124341755 | NPI | - | NPPES |
| 1124341755 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11608 (Nevada) | Primary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 11608 (Nevada) | Secondary |
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