MEDICARE: MOBILE DOCS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
2	363L00000X	Nurse Practitioner
3	363LP2300X	Primary Care Nurse Practitioner
4	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1538956842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE DOCS LLC

Provider Business Mailing Address
First Line	:	9550 S EASTERN AVE STE 248
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-8041
Country	:	US
Telephone Number	:	702-541-4881
Fax Number	:	702-549-8040

Provider Business Practice Location Address
First Line	:	9550 S EASTERN AVE STE 248
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-8041
Country	:	US
Telephone Number	:	702-541-4881
Fax Number	:	702-549-8040

Authorized Official
Title or Position	:	COO
Name	:	MATTHEW SCOTT
Credential	:
Telephone Number	:	702-580-7197

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	06/04/2025

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Directions to “MOBILE DOCS LLC ” Practice Location

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