Vp In-house Primary Care Services Llc | |
6421 Pleasant Grove Ct Las Vegas NV 89108-5916 | |
(702) 526-3354 | |
Not Available |
Full Name | Vp In-house Primary Care Services Llc |
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Speciality | Clinic/Center |
Location | 6421 Pleasant Grove Ct, Las Vegas, Nevada |
Authorized Official Name and Position | Virgilio Padilla (OWNER) |
Authorized Official Contact | 7025263354 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vp In-house Primary Care Services Llc 6421 Pleasant Grove Ct Las Vegas NV 89108-5916 Ph: (702) 526-3354 | Vp In-house Primary Care Services Llc 6421 Pleasant Grove Ct Las Vegas NV 89108-5916 Ph: (702) 526-3354 |
NPI Number | 1811585540 |
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Provider Enumeration Date | 01/07/2021 |
Last Update Date | 01/07/2021 |
Medicare PECOS PAC ID | 2365856739 |
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Medicare Enrollment ID | O20210126000862 |
Identifier | Type | State | Issuer |
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1811585540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Virgilio I Padilla |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881935039 PECOS PAC ID: 6800038712 Enrollment ID: I20130806000148 |
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