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NPI Code Detail

MEDICARE: NEVADA EM-I SILVER-HOMANSKY MEDICAL SERVICES PROFESSIONAL CORPORATION

MEDICARE: NEVADA EM-I SILVER-HOMANSKY MEDICAL SERVICES PROFESSIONAL CORPORATION
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
1363A00000XPhysician Assistant
2363L00000XNurse Practitioner
3207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1376592519
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA EM-I SILVER-HOMANSKY MEDICAL SERVICES PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 13737 NOEL ROAD
Second Line : 1600
City : DALLAS
State : TX
Zip : 75240
Country : US
Telephone Number : 469-401-2386
Fax Number :
Provider Business Practice Location Address
First Line : 620 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4119
Country : US
Telephone Number : 702-388-4500
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EDWIN HOMANSKY
Credential : MD
Telephone Number : 469-401-2386
Provider Enumeration Date : 05/06/2006
Last Update Date : 06/12/2017

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Directions to “NEVADA EM-I SILVER-HOMANSKY MEDICAL SERVICES PROFESSIONAL CORPORATION ” Practice Location

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