MEDICARE: TRAINOR HEALTH OF NEVADA PLLC

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	207X00000X	Orthopaedic Surgery Physician	11513	NV

General Provider Information

NPI Number	:	1568828572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAINOR HEALTH OF NEVADA PLLC

Provider Business Mailing Address
First Line	:	10740 N CENTRAL EXPY
Second Line	:	275
City	:	DALLAS
State	:	TX
Zip	:	75231-2161
Country	:	US
Telephone Number	:	214-615-5168
Fax Number	:	972-737-1058

Provider Business Practice Location Address
First Line	:	8420 W WARM SPRINGS RD
Second Line	:	100
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3624
Country	:	US
Telephone Number	:	214-615-5168
Fax Number	:	972-737-1058

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MISS DEBI W GLICK
Credential	:	MBA
Telephone Number	:	214-615-5168

Provider Enumeration Date	:	01/06/2016
Last Update Date	:	01/06/2016

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