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Contact Information

KID DOCTORS URGENT CARE
4840 S FORT APACHE
101
LAS VEGAS, NV89147-7949
 Phone: 702-254-5437
 Fax: 702-367-1698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KID DOCTORS URGENT CARE

NPI # 1033384896
LBN Legal business name KID DOCTORS URGENT CARE
Authorized official ERIC DEURELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2008
Last updated 04/23/2008 - About 18 years ago
Identifiers
NV License # 2081
NV Medicaid 100506923
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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