| M Family Care | |
|
12300 Las Vegas Blvd S Las Vegas NV 89044-9506 | |
| (702) 837-1265 | |
| (702) 837-1706 |
| Full Name | M Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 12300 Las Vegas Blvd S, Las Vegas, Nevada |
| Authorized Official Name and Position | Kochy Y Tang (PRESIDENT) |
| Authorized Official Contact | 7028371265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Family Care Po Box 230181 Las Vegas NV 89105-0181 Ph: (702) 837-1265 | M Family Care 12300 Las Vegas Blvd S Las Vegas NV 89044-9506 Ph: (702) 837-1265 |
| NPI Number | 1730413972 |
|---|---|
| Provider Enumeration Date | 09/21/2009 |
| Last Update Date | 08/02/2023 |
| Medicare PECOS PAC ID | 1951440114 |
|---|---|
| Medicare Enrollment ID | O20091201000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730413972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Kochy M Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902826365 PECOS PAC ID: 3779500780 Enrollment ID: I20051028000739 |
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