CHOICE FAMILY MEDICAL CLINIC LLC NPI 1538778634

NPI Information

CHOICE FAMILY MEDICAL CLINIC LLC is a clinic center in Las Vegas, NV. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CHOICE FAMILY MEDICAL CLINIC LLC NPI is 1538778634. The provider is registered as an organization entity type.

The provider's business location address is:

4185 VEGAS VALLEY DR STE C
LAS VEGAS, NV
ZIP 89121-522
Phone: (702) 463-9066
Fax: (702) 463-9067

The provider's authorized official is Letaniya Warren Tatum .
The authorized official title is Owner and has the following contact phone number (702) 680-0600.

The CLIA number assigned to this NPI record is 29D2197793 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2020 and was last updated on 4/6/2022.

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:

Other Identifiers

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

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