MEDICARE: PR ACQUISITION CORPORATION

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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1356377733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PR ACQUISITION CORPORATION

Provider Business Mailing Address
First Line	:	6330 SPRING MOUNTAIN RD
Second Line	:	STE E
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8842
Country	:	US
Telephone Number	:	702-228-4559
Fax Number	:

Provider Business Practice Location Address
First Line	:	6330 SPRING MOUNTAIN RD
Second Line	:	STE E
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8842
Country	:	US
Telephone Number	:	702-228-4559
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHAEL TARVIN
Credential	:
Telephone Number	:	717-975-4503

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	03/05/2008

Similar Medicare Providers

1730350729 — PR ACQUISITION CORPORATION
Practice Location Address:

6330 SPRING MOUNTAIN RD , STE E
LAS VEGAS, NV
89146-8842

Practice Phone: 717-975-4503
Practice Fax:

1407504699 — HARMONEE AT HOME CARE SERVICE LLC
Practice Location Address:

725 S HUALAPAI WAY APT 2085
LAS VEGAS, NV
89145-8842

Practice Phone: 414-313-8754
Practice Fax:

1235104571 — AMERICAN PHYSICAL THERAPY & SPORTS MEDICINE CLINIC
Practice Location Address:

1783 SOUTH WASHINGTON , AMERICAN PHYSICAL THERAPY & SPORTS MEDICINE CLINIC
NAPERVILLE, IL
60565

Practice Phone: 630-717-6188
Practice Fax: 630-717-8842

1578544581 — DR. KELLEY JANE WOODS D.P.M
Practice Location Address:

3815 S JONES BLVD , 3815 SO JONES BLVD #6
LAS VEGAS, NV
89103-2289

Practice Phone: 702-354-2452
Practice Fax:

1407181746 — STACY T TRAN LSW
Practice Location Address:

5400 S RAINBOW BLVD , SPRING VALLY HOSPITAL
LAS VEGAS, NV
89118-1859

Practice Phone: 702-853-3000
Practice Fax: 702-853-8842

1700140480 — MRS. TERESA ANN WILSON
Practice Location Address:

3150 S NELLIS BLVD APT 1189
LAS VEGAS, NV
89121-7537

Practice Phone: 559-790-8842
Practice Fax:

Directions to “PR ACQUISITION CORPORATION ” 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.