| Total Health & Wellness Medical Center Llc | |
|
1516 E Tropicana Ave Ste 130 Las Vegas NV 89119-6552 | |
| (323) 351-4041 | |
| Not Available |
| Full Name | Total Health & Wellness Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1516 E Tropicana Ave Ste 130, Las Vegas, Nevada |
| Authorized Official Name and Position | Roscoe Mcmillan (DIRECTOR) |
| Authorized Official Contact | 3233514041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Health & Wellness Medical Center Llc 4080 Paradise Rd # 356 Las Vegas NV 89169-4834 Ph: (323) 351-4041 | Total Health & Wellness Medical Center Llc 1516 E Tropicana Ave Ste 130 Las Vegas NV 89119-6552 Ph: (323) 351-4041 |
| NPI Number | 1720601024 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 05/20/2020 |
| Medicare PECOS PAC ID | 7113342205 |
|---|---|
| Medicare Enrollment ID | O20200806001730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720601024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Roscoe Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114540515 PECOS PAC ID: 8022433119 Enrollment ID: I20200806001793 |
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