MEDICARE: ALPHA MEDICAL CENTRE WALTERS, LTD

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	261QP2300X	Primary Care Clinic/Center	4017	NV

General Provider Information

NPI Number	:	1902268501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA MEDICAL CENTRE WALTERS, LTD

Provider Business Mailing Address
First Line	:	348 N NELLIS BLVD
Second Line	:	SUITE E
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-0053
Country	:	US
Telephone Number	:	702-570-5072
Fax Number	:	702-570-5384

Provider Business Practice Location Address
First Line	:	348 N NELLIS BLVD
Second Line	:	SUITE E
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-0053
Country	:	US
Telephone Number	:	702-570-5072
Fax Number	:	702-570-5384

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	ROSA GONZALEZ
Credential	:
Telephone Number	:	702-540-3499

Provider Enumeration Date	:	03/23/2016
Last Update Date	:	06/17/2016

Similar Medicare Providers

1316212194 — NELLIS CARE PHARMACY INC
Practice Location Address:

348 N NELLIS BLVD
LAS VEGAS, NV
89110-0053

Practice Phone: 702-531-6523
Practice Fax: 702-531-6524

1083498547 — A BETTER YOU LLC
Practice Location Address:

1415 ARVILLE ST
LAS VEGAS, NV
89102-0053

Practice Phone: 702-473-0771
Practice Fax:

1215579602 — CARLOS E JIMENEZ NP
Practice Location Address:

348 N NELLIS BLVD STE F
LAS VEGAS, NV
89110-5313

Practice Phone: 702-508-6460
Practice Fax:

1184555039 — RAMONA RIOS DURAZO
Practice Location Address:

4531 COOL VALLEY DR
LAS VEGAS, NV
89110-2351

Practice Phone: 702-628-4298
Practice Fax:

1588594626 — MR. JOSE LUIS MEDINA III
Practice Location Address:

4013 MONTEBELLO AVE
LAS VEGAS, NV
89110-3215

Practice Phone: 702-241-5383
Practice Fax:

1922613926 — JHANH RACKLEY
Practice Location Address:

450 N NELLIS BLVD
LAS VEGAS, NV
89110-5304

Practice Phone: 702-452-0224
Practice Fax: 702-453-4969

Directions to “ALPHA MEDICAL CENTRE WALTERS, LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.