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THERAPEUTIC INTEGRATED MEDICAL CARE INC NPI 1659831261


NPI Information

NPI: 1659831261
Provider Name: THERAPEUTIC INTEGRATED MEDICAL CARE INC

Doing Business As: TIM CARE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
916 W OWENS AVE STE D
LAS VEGAS, NV
ZIP 89106
Phone: (702) 617-6313
Get Directions

THERAPEUTIC INTEGRATED MEDICAL CARE INC is a general practice in Las Vegas, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THERAPEUTIC INTEGRATED MEDICAL CARE INC NPI is 1659831261. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tim Care.

The provider's business location address is:

916 W OWENS AVE STE D
LAS VEGAS, NV
ZIP 89106-516
Phone: (702) 617-6313
Fax: (702) 901-7224

The provider's authorized official is Roxana Valeton .
The authorized official title is Owner/president and has the following contact phone number (305) 303-8108.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 2/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RI0011XInternal MedicineInterventional CardiologyNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
6208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11740770643MEDICAIDNEVADA
21770085755MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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