Healthcare Provider Details

I. General information

NPI: 1992259105
Provider Name (Legal Business Name): MEDICAL SOLUTION OPTIONS OF NV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2016
Last Update Date: 08/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 S JONES BLVD STE 219
LAS VEGAS NV
89146-3103
US

IV. Provider business mailing address

2350 S JONES BLVD STE 219
LAS VEGAS NV
89146-3103
US

V. Phone/Fax

Practice location:
  • Phone: 702-626-0008
  • Fax: 702-800-2652
Mailing address:
  • Phone: 702-626-0008
  • Fax: 702-800-2652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateNV

VIII. Authorized Official

Name: ROBERT BROWN
Title or Position: PRESIDENT
Credential:
Phone: 702-626-0008