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NPI Code Detail

MEDICARE: FRANCISCO GUADALUPE MACHUCA M.D.

MEDICARE: FRANCISCO GUADALUPE MACHUCA 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
1207Q00000XFamily Medicine Physician16108NV
2207Q00000XFamily Medicine Physician26368NE

General Provider Information

NPI Number : 1922242676
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCISCO GUADALUPE MACHUCA M.D.
Provider Business Mailing Address
First Line : 15969 ADAMS ST
Second Line :
City : OMAHA
State : NE
Zip : 68135-6325
Country : US
Telephone Number : 530-990-6519
Fax Number : 702-850-9105
Provider Business Practice Location Address
First Line : 1513 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3916
Country : US
Telephone Number : 702-340-9746
Fax Number : 702-850-9105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2009
Last Update Date : 10/04/2023

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