MEDICARE: NEVADA OUTPATIENT SERVICES, 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
1	261QH0100X	Health Service Clinic/Center	2001554-062-101	NV

General Provider Information

NPI Number	:	1790187391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA OUTPATIENT SERVICES, PC

Provider Business Mailing Address
First Line	:	7201 W POST RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-6610
Country	:	US
Telephone Number	:	702-671-6939
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 W POST RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-6610
Country	:	US
Telephone Number	:	702-671-6939
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JULES SILVER
Credential	:	MD
Telephone Number	:	214-712-2815

Provider Enumeration Date	:	09/25/2014
Last Update Date	:	06/24/2015

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