| Total Family Care Specialists | |
|
3280 N Rainbow Blvd 110 Las Vegas NV 89108 | |
| (702) 233-4555 | |
| (702) 233-1081 |
| Full Name | Total Family Care Specialists |
|---|---|
| Speciality | Clinic/Center |
| Location | 3280 N Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Madlin Ellyin (OFFICE MANAGER) |
| Authorized Official Contact | 7022334555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Family Care Specialists 3280 N Rainbow Blvd 110 Las Vegas NV 89108-5011 Ph: (702) 233-4555 | Total Family Care Specialists 3280 N Rainbow Blvd 110 Las Vegas NV 89108 Ph: (702) 233-4555 |
| NPI Number | 1629362959 |
|---|---|
| Provider Enumeration Date | 06/03/2011 |
| Last Update Date | 07/02/2012 |
| Medicare PECOS PAC ID | 6608026307 |
|---|---|
| Medicare Enrollment ID | O20121015000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629362959 | NPI | - | NPPES |
| 2019551 | Medicaid | NV | |
| E95681 | Other | NV | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Francis Ellyin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932218096 PECOS PAC ID: 1254356280 Enrollment ID: I20051010000473 |
| Provider Name | Josef Z Abbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104016872 PECOS PAC ID: 8426209263 Enrollment ID: I20121105000039 |
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