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1280 E Calvada Blvd Pahrump NV 89048-5693 | |
(775) 751-3377 | |
(775) 751-2323 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1280 E Calvada Blvd, Pahrump, Nevada |
Authorized Official Name and Position | Georges Y Tannoury (OWNER) |
Authorized Official Contact | 7757513377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8550 W Desert Inn Rd Ste 102-105 Las Vegas NV 89117-4401 Ph: (775) 751-3377 | 1280 E Calvada Blvd Pahrump NV 89048-5693 Ph: (775) 751-3377 |
NPI Number | 1013929843 |
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Provider Enumeration Date | 08/12/2006 |
Last Update Date | 03/13/2009 |
Identifier | Type | State | Issuer |
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1013929843 | NPI | - | NPPES |
100506247 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Ryse N Shine Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70 S Highway 160, Unit 101, Pahrump, NV 89048 Phone: 760-382-5115 Fax: 702-825-7893 | |
Pahrump Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1280 E Calvada Blvd, Pahrump, NV 89048 Phone: 775-910-9811 Fax: 775-751-3056 |