MODERN GENTLEMEN MD PLLC NPI 1609536010

NPI Information

  • NPI: 1609536010
  • Provider Name: MODERN GENTLEMEN MD PLLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: VALLEY EXPRESS MED
  • Address: 8432 RAVENCREST ST
    LAS VEGAS, NV
    ZIP 89139
  • Phone: (206) 551-0154

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NPI Details

MODERN GENTLEMEN MD PLLC is an urgent care clinic center in Las Vegas, NV. MODERN GENTLEMEN MD PLLC NPI is 1609536010. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Express Med.

The provider's business location address is:

8432 RAVENCREST ST
LAS VEGAS, NV
ZIP 89139-874
Phone: (206) 551-0154

The provider's authorized official is Michael Minckler .
The authorized official title is Owner and has the following contact phone number (833) 436-8633.

The enumeration date for this NPI number is 12/27/2021 and was last updated on 2/3/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0002XClinic/CenterEmergency CareNo
2261QH0100XClinic/CenterHealth ServiceNo
3261QU0200XClinic/CenterUrgent CareYes

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: 11/21/2025

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