| Quality Medical Specialists Llc | |
|
10725 Prairie Wheat Ct Henderson NV 89052-8688 | |
| (725) 500-8048 | |
| Not Available |
| Full Name | Quality Medical Specialists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10725 Prairie Wheat Ct, Henderson, Nevada |
| Authorized Official Name and Position | Roy Marie A Margallo (SOLE MEMBER) |
| Authorized Official Contact | 7255008048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Medical Specialists Llc 10725 Prairie Wheat Ct Henderson NV 89052-8688 Ph: (725) 500-8048 | Quality Medical Specialists Llc 10725 Prairie Wheat Ct Henderson NV 89052-8688 Ph: (725) 500-8048 |
| NPI Number | 1154948024 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 06/26/2020 |
| Medicare PECOS PAC ID | 1759705932 |
|---|---|
| Medicare Enrollment ID | O20200721002422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154948024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roy Marie A Margallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538314950 PECOS PAC ID: 7416129739 Enrollment ID: I20111011000181 |
| Provider Name | Gina Balgoyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891206983 PECOS PAC ID: 9931466190 Enrollment ID: I20171127002401 |
| Provider Name | Brian Keith Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487114583 PECOS PAC ID: 7810221090 Enrollment ID: I20190621000022 |
| Provider Name | Janice M Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063034049 PECOS PAC ID: 2769895291 Enrollment ID: I20201230001215 |
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