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NPI Code Detail

MEDICARE: SOUTHERN NEVADA HOUSE CALLS

MEDICARE: SOUTHERN NEVADA HOUSE CALLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician8780NV
2363AM0700XMedical Physician Assistant685NV

General Provider Information

NPI Number : 1154583920
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN NEVADA HOUSE CALLS
Provider Business Mailing Address
First Line : 5542 ANTICIPATION CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-5653
Country : US
Telephone Number : 888-384-5951
Fax Number : 888-384-5951
Provider Business Practice Location Address
First Line : 7490 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2740
Country : US
Telephone Number : 888-384-5951
Fax Number : 888-384-5951
Authorized Official
Title or Position : MANAGING PARTNER
Name : MRS. KIM ABBOTT
Credential :
Telephone Number : 702-269-0253
Provider Enumeration Date : 07/02/2008
Last Update Date : 07/02/2008

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Directions to “SOUTHERN NEVADA HOUSE CALLS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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