Healthcare Provider Details

I. General information

NPI: 1487976411
Provider Name (Legal Business Name): ACCESS URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2010
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 W PACIFIC AVE
HENDERSON NV
89015-7304
US

IV. Provider business mailing address

11 W PACIFIC AVE
HENDERSON NV
89015-7304
US

V. Phone/Fax

Practice location:
  • Phone: 702-568-0007
  • Fax: 702-568-6299
Mailing address:
  • Phone: 702-568-0007
  • Fax: 702-568-6299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number2433
License Number StateNV

VIII. Authorized Official

Name: DR. ANTHONY L POLLARD
Title or Position: MANAGER
Credential: D.O.
Phone: 702-568-0007