| Palm Tree Medical Center Llc | |
|
3930 E Patrick Ln Las Vegas NV 89120-4924 | |
| (725) 577-8636 | |
| Not Available |
| Full Name | Palm Tree Medical Center Llc |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 3930 E Patrick Ln, Las Vegas, Nevada |
| Authorized Official Name and Position | Jacolby Bledsoe (OWNER) |
| Authorized Official Contact | 7255778636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Tree Medical Center Llc 3930 E Patrick Ln Las Vegas NV 89120-4924 Ph: (725) 577-8636 | Palm Tree Medical Center Llc 3930 E Patrick Ln Las Vegas NV 89120-4924 Ph: (725) 577-8636 |
| NPI Number | 1073275442 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073275442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
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