MEDICARE: MLM MEDICAL SERVICES PLLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1962205013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MLM MEDICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	267 OAKBROOK RIDGE AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89002-3394
Country	:	US
Telephone Number	:	702-860-5388
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 S VALLE VERDE DR STE 265
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-3434
Country	:	US
Telephone Number	:	702-860-5388
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MARCUS MCCOMAS
Credential	:	APRN
Telephone Number	:	702-685-3230

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	03/02/2026

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Directions to “MLM MEDICAL SERVICES PLLC ” Practice Location

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