Healthcare Provider Details

I. General information

NPI: 1013406537
Provider Name (Legal Business Name): ABC WEST SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 E FLAMINGO RD STE 303
LAS VEGAS NV
89121-5066
US

IV. Provider business mailing address

3430 E FLAMINGO RD STE 303
LAS VEGAS NV
89121-5066
US

V. Phone/Fax

Practice location:
  • Phone: 702-542-9558
  • Fax: 702-447-7025
Mailing address:
  • Phone: 702-542-9558
  • Fax: 702-447-7025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberNV13088
License Number StateNV

VIII. Authorized Official

Name: ROBERTO FIGUERAS MORGAN
Title or Position: CEO
Credential: CEO
Phone: 702-542-9558