MODERN GENTLEMEN MD PLLC NPI 1609536010

NPI Information

NPI: 1609536010
Provider Name: MODERN GENTLEMEN MD PLLC

Doing Business As: VALLEY EXPRESS MED

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

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

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	Primary
1	261QE0002X	Clinic/Center	Emergency Care	No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QU0200X	Clinic/Center	Urgent Care	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »