MEDICARE: MAURICE POCKEY M.D.

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	6901	NV

General Provider Information

NPI Number	:	1588790166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURICE POCKEY M.D.

Provider Business Mailing Address
First Line	:	8212 TURTLE CREEK CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-0129
Country	:	US
Telephone Number	:	702-388-8061
Fax Number	:	702-614-6562

Provider Business Practice Location Address
First Line	:	3059 S MARYLAND PKWY
Second Line	:	#202
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2294
Country	:	US
Telephone Number	:	702-614-6550
Fax Number	:	702-614-6562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	03/13/2008

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Directions to “ MAURICE POCKEY M.D.” Practice Location

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