National Provider Identifier Database

TRUCARE PRIMARY HEALTH PC
General Practice


Contact Information

TRUCARE PRIMARY HEALTH PC
6396 MCLOED DR.
UNIT 10 OFFCIE B
LAS VEGAS, NV89120
Phone: 773-742-2656
Fax:
Website:
Specialty Taxonomy Code
* General Practice 163WG0000X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for TRUCARE PRIMARY HEALTH PC

NPI Number 1861336315
Legal business name
LBN
TRUCARE PRIMARY HEALTH PC
Authorized official LADY PANELO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/15/2026
Last updated 05/18/2026 - About 3 weeks ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TRUCARE PRIMARY HEALTH PC

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