MEDICARE: MEDICAL SCULPTURING & GYN CARE, P.C.

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	261QM2500X	Medical Specialty Clinic/Center	10765	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10765	OTHER	NV	MEDICAL LICENSE

General Provider Information

NPI Number	:	1205264876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SCULPTURING & GYN CARE, P.C.

Provider Business Mailing Address
First Line	:	2739 SUNRIDGE HEIGHTS PKWY
Second Line	:	SUITE 100
City	:	HENDERSON
State	:	NV
Zip	:	89052-5042
Country	:	US
Telephone Number	:	702-538-8888
Fax Number	:	702-538-8928

Provider Business Practice Location Address
First Line	:	2739 SUNRIDGE HEIGHTS PKWY
Second Line	:	SUITE 100
City	:	HENDERSON
State	:	NV
Zip	:	89052-5042
Country	:	US
Telephone Number	:	702-538-8888
Fax Number	:	702-538-8928

Authorized Official
Title or Position	:	M.D.
Name	:	JOSE HIRAM ALVAREZ
Credential	:
Telephone Number	:	702-538-8888

Provider Enumeration Date	:	10/17/2013
Last Update Date	:	03/07/2023

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