MEDICARE: DR. VICENTE D. NARCISO M.D.

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	208600000X	Surgery Physician	16519	KS

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	:	1477556553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICENTE D. NARCISO M.D.

Provider Business Mailing Address
First Line	:	7368 NIGHT HERON WAY
Second Line	:	WARD 3C
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2496
Country	:	US
Telephone Number	:	702-638-0099
Fax Number	:	702-653-2790

Provider Business Practice Location Address
First Line	:	7368 NIGHT HERON WAY
Second Line	:	WARD 3C
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2496
Country	:	US
Telephone Number	:	702-638-0099
Fax Number	:	702-638-0099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	06/15/2015

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