MEDICARE: FAMILY MEDICAL OF NEVADA, 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	332B00000X	Durable Medical Equipment & Medical Supplies	503621950	NV

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	:	1417940933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MEDICAL OF NEVADA, INC.

Provider Business Mailing Address
First Line	:	4230 N PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-0196
Country	:	US
Telephone Number	:	702-643-6639
Fax Number	:	702-643-0208

Provider Business Practice Location Address
First Line	:	4230 N PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-0196
Country	:	US
Telephone Number	:	702-643-6639
Fax Number	:	702-643-0208

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. YOEL GARCIA GONZALEZ
Credential	:
Telephone Number	:	702-643-6639

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	08/07/2009

Similar Medicare Providers

1164123279 — JENNA MANDILK-LONGHURST RBT
Practice Location Address:

3950 LAS VEGAS BLVD N # A2
LAS VEGAS, NV
89115-0598

Practice Phone: 702-547-6971
Practice Fax: 702-547-6948

1063351674 — INIE ARADA
Practice Location Address:

4317 BACARA RIDGE AVE
LAS VEGAS, NV
89115-6012

Practice Phone: 702-722-7730
Practice Fax:

1184571333 — STARLENE HENRY
Practice Location Address:

3955 LONELY HEART CT
LAS VEGAS, NV
89115-3509

Practice Phone: 702-501-1752
Practice Fax:

1194783530 — DR. BRADLEY S WALKER M.D.
Practice Location Address:

1735 N NELLIS BLVD STE G
LAS VEGAS, NV
89115-3671

Practice Phone: 702-342-8804
Practice Fax:

1043266836 — DR. PHILIP M HESS MD
Practice Location Address:

3955 N PECOS RD
LAS VEGAS, NV
89115

Practice Phone: 702-555-1212
Practice Fax:

1982621090 — WAL-MART STORES INC
Practice Location Address:

4350 N NELLIS BLVD
LAS VEGAS, NV
89115-2490

Practice Phone: 702-643-2023
Practice Fax:

Directions to “FAMILY MEDICAL OF NEVADA, INC. ” 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 © 2007-2026 (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.