Healthcare Provider Details

I. General information

NPI: 1265112155
Provider Name (Legal Business Name): INTEGRATED MEDICAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 AUSTER PARK AVE
LAS VEGAS NV
89148-4426
US

IV. Provider business mailing address

326 AUSTER PARK AVE
LAS VEGAS NV
89148-4426
US

V. Phone/Fax

Practice location:
  • Phone: 702-686-6152
  • Fax:
Mailing address:
  • Phone: 702-686-6152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. TEODORA DEL PILAR
Title or Position: PRESIDENT
Credential: NP
Phone: 702-686-6152