MEDICARE: T & G MEDICAL CLINIC

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	174400000X	Specialist	53	NV

General Provider Information

NPI Number	:	1225182140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T & G MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	5700 SPRING MOUNTAIN RD
Second Line	:	#D
City	:	LAS VEGAS
State	:	NV
Zip	:	89146
Country	:	US
Telephone Number	:	702-368-2623
Fax Number	:	702-368-2527

Provider Business Practice Location Address
First Line	:	5700 SPRING MOUNTAIN RD
Second Line	:	#D
City	:	LAS VEGAS
State	:	NV
Zip	:	89146
Country	:	US
Telephone Number	:	702-368-2623
Fax Number	:	702-368-2527

Authorized Official
Title or Position	:	OWNER
Name	:	MIU YING TONG
Credential	:	OMD
Telephone Number	:	702-368-2623

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	10/22/2008

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Directions to “T & G MEDICAL CLINIC ” Practice Location

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