Healthcare Provider Details
I. General information
NPI: 1124064589
Provider Name (Legal Business Name): FRANK J NEMEC M D LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2006
Last Update Date: 09/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6950 S CIMARRON RD STE 200
LAS VEGAS NV
89113-2135
US
IV. Provider business mailing address
PO BOX 50794
HENDERSON NV
89016-0794
US
V. Phone/Fax
- Phone: 702-796-0231
- Fax: 702-796-5211
- Phone: 702-796-0231
- Fax: 702-796-5211
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GREGORY
MARTIN
KWOK
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 702-796-0231