MEDICARE: VERTEX MEDICUS, LLC

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	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407087471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERTEX MEDICUS, LLC

Provider Business Mailing Address
First Line	:	8930 W SUNSET RD STE 350
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5042
Country	:	US
Telephone Number	:	702-989-9449
Fax Number	:	702-989-9429

Provider Business Practice Location Address
First Line	:	1905 MCDANIEL ST
Second Line	:	SUITE 106
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7169
Country	:	US
Telephone Number	:	702-989-9449
Fax Number	:	702-989-9429

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	NANCY AGUILAR
Credential	:
Telephone Number	:	702-989-9449

Provider Enumeration Date	:	08/07/2009
Last Update Date	:	05/14/2024

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Directions to “VERTEX MEDICUS, LLC ” Practice Location

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