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NPI Code Detail

MEDICARE: THRIVECARE OASIS LLC

MEDICARE: THRIVECARE OASIS LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1316807639
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVECARE OASIS LLC
Provider Business Mailing Address
First Line : 6859 S EASTERN AVE STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0003
Country : US
Telephone Number : 702-534-6507
Fax Number :
Provider Business Practice Location Address
First Line : 6859 S EASTERN AVE STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0003
Country : US
Telephone Number : 702-534-6507
Fax Number :
Authorized Official
Title or Position : PROVIDER
Name : ALVIN LOURENZE E UCAB
Credential : NURSE PRACTITIONER
Telephone Number : 702-534-6507
Provider Enumeration Date : 11/18/2025
Last Update Date : 12/05/2025

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Directions to “THRIVECARE OASIS LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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