| Trinity Primary Care | |
|
9484 S Eastern Ave #102 Las Vegas NV 89123-3987 | |
| (702) 492-9990 | |
| (702) 616-7032 |
| Full Name | Trinity Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9484 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | William G Dewey (BILLER/BOOKKEEPER) |
| Authorized Official Contact | 7023760783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Primary Care 9484 S Eastern Ave #102 Las Vegas NV 89123-3987 Ph: (702) 492-9990 | Trinity Primary Care 9484 S Eastern Ave #102 Las Vegas NV 89123-3987 Ph: (702) 492-9990 |
| NPI Number | 1548636285 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548636285 | NPI | - | NPPES |
| 1447397625 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 8669 (Nevada) | Primary |
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