| Primary Care Center Of Nevada | |
|
2001 S Rainbow Blvd Las Vegas NV 89146-2990 | |
| (702) 315-4600 | |
| (702) 315-4607 |
| Full Name | Primary Care Center Of Nevada |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Georges Youssef Tannoury (OWNER) |
| Authorized Official Contact | 7025105447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Center Of Nevada 3144 Beach View Ct Las Vegas NV 89117-3531 Ph: (702) 510-5447 | Primary Care Center Of Nevada 2001 S Rainbow Blvd Las Vegas NV 89146-2990 Ph: (702) 315-4600 |
| NPI Number | 1992162606 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Medicare PECOS PAC ID | 7416252416 |
|---|---|
| Medicare Enrollment ID | O20160301000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992162606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12311 (Nevada) | Secondary |
| 207R00000X | Internal Medicine | 8820 (Nevada) | Primary |
| Provider Name | Georges Y Tannoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639143423 PECOS PAC ID: 4789570839 Enrollment ID: I20050822000648 |
| Provider Name | Roslyn B Weingarten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457478745 PECOS PAC ID: 8022191535 Enrollment ID: I20080207000042 |
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