MEDICARE: TSM NEW BEGINNINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	12789	NV

General Provider Information

NPI Number	:	1205180767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TSM NEW BEGINNINGS

Provider Business Mailing Address
First Line	:	PO BOX 400746
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89140-0746
Country	:	US
Telephone Number	:	702-740-0500
Fax Number	:	702-740-0502

Provider Business Practice Location Address
First Line	:	8850 W SUNSET RD
Second Line	:	SUITE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4897
Country	:	US
Telephone Number	:	702-740-0500
Fax Number	:	702-740-0502

Authorized Official
Title or Position	:	OWNER
Name	:	STACI LEIGH MCHALE
Credential	:	M.D.
Telephone Number	:	702-740-0500

Provider Enumeration Date	:	11/06/2012
Last Update Date	:	02/29/2016

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Directions to “TSM NEW BEGINNINGS ” Practice Location

Language	Start Address	Practice Location

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