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NPI Code Detail

MEDICARE: THOMAS UMBACH MD PC

MEDICARE: THOMAS UMBACH MD PC
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
1208600000XSurgery Physician12712NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E0387562008-4OTHERNVNEVADA STATE / CORP NUMBER

General Provider Information

NPI Number : 1669633475
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS UMBACH MD PC
Provider Business Mailing Address
First Line : 2657 WINDMILL PKWY # 344
Second Line :
City : HENDERSON
State : NV
Zip : 89074-3384
Country : US
Telephone Number : 702-802-5215
Fax Number : 801-931-2044
Provider Business Practice Location Address
First Line : 3235 E WARM SPRINGS RD
Second Line : STE 100
City : LAS VEGAS
State : NV
Zip : 89120-3188
Country : US
Telephone Number : 702-463-3300
Fax Number : 702-441-0251
Authorized Official
Title or Position : PRESIDENT
Name : DR. THOMAS WALTER UMBACH
Credential : M.D.
Telephone Number : 702-463-3300
Provider Enumeration Date : 06/24/2008
Last Update Date : 02/28/2025

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