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NPI Code Detail

MEDICARE: NEIGHBORHOOD CLINIC NV LLC

MEDICARE: NEIGHBORHOOD CLINIC NV 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1760315550
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEIGHBORHOOD CLINIC NV LLC
Provider Business Mailing Address
First Line : 8488 ROZITA LEE AVE STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4772
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1801 HALSTEAD ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-1830
Country : US
Telephone Number : 806-209-9443
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TRENT HOFMOCKEL
Credential :
Telephone Number : 702-425-8105
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “NEIGHBORHOOD CLINIC NV LLC ” 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.

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