Healthcare Provider Details

I. General information

NPI: 1952356412
Provider Name (Legal Business Name): PHYSICIANS MEDICAL CENTER KAUFMAN, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 S MARYLAND PKWY SUITE 101
LAS VEGAS NV
89109-2307
US

IV. Provider business mailing address

3121 SOUTH MARYLAND PARKWAY SUITE 101
LAS VEGAS NV
89109-2307
US

V. Phone/Fax

Practice location:
  • Phone: 702-320-3627
  • Fax: 702-320-3849
Mailing address:
  • Phone: 702-320-3627
  • Fax: 702-320-3849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBBIE ANN FRANCIS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 702-320-3627