MEDICARE: T & R MEDICAL INC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1215184940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T & R MEDICAL INC

Provider Business Mailing Address
First Line	:	PO BOX 531353
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89053-1353
Country	:	US
Telephone Number	:	702-248-2228
Fax Number	:	702-248-2213

Provider Business Practice Location Address
First Line	:	2110 E FLAMINGO RD STE 104
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5191
Country	:	US
Telephone Number	:	702-248-2228
Fax Number	:	702-248-2213

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAMMARA S BEEGHLY
Credential	:	PA-C
Telephone Number	:	702-248-2228

Provider Enumeration Date	:	08/25/2008
Last Update Date	:	07/21/2022

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Directions to “T & R MEDICAL INC ” Practice Location

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