Healthcare Provider Details

I. General information

NPI: 1124159496
Provider Name (Legal Business Name): NARAG FALLON FAMILY CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 01/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1077 NEW RIVER PKWY
FALLON NV
89406-6894
US

IV. Provider business mailing address

PO BOX 615
FALLON NV
89407-0615
US

V. Phone/Fax

Practice location:
  • Phone: 775-428-2747
  • Fax:
Mailing address:
  • Phone: 775-428-2747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. REYNALDO B NARAG JR.
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 775-428-2747