Healthcare Provider Details

I. General information

NPI: 1952572901
Provider Name (Legal Business Name): RACHEL MCCONNELL, M.D., LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2008
Last Update Date: 03/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

653 N TOWN CENTER DR SUITE 206
LAS VEGAS NV
89144-0514
US

IV. Provider business mailing address

653 N TOWN CENTER DR SUITE 206
LAS VEGAS NV
89144-0514
US

V. Phone/Fax

Practice location:
  • Phone: 702-341-6616
  • Fax:
Mailing address:
  • Phone: 702-341-6616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number6560
License Number StateNV

VIII. Authorized Official

Name: DR. RACHEL MCCONNELL
Title or Position: PRESIDENT
Credential: M.D.,
Phone: 702-341-6616