MEDICARE: PERSONAL MEDICAL CARE, 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	207R00000X	Internal Medicine Physician	11614	NV

General Provider Information

NPI Number	:	1447452339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL MEDICAL CARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 487
Second Line	:
City	:	LOGANDALE
State	:	NV
Zip	:	89021-0487
Country	:	US
Telephone Number	:	702-328-2708
Fax Number	:	702-398-3898

Provider Business Practice Location Address
First Line	:	4425 S PECOS RD
Second Line	:	SUITE 2
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5037
Country	:	US
Telephone Number	:	702-898-9191
Fax Number	:	702-442-3140

Authorized Official
Title or Position	:	DIRECT OWNER
Name	:	DR. THOMAS S PARSI
Credential	:	M.D.
Telephone Number	:	702-328-2708

Provider Enumeration Date	:	06/03/2007
Last Update Date	:	01/21/2009

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