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Contact Information

INTEGRATED MEDICAL GROUP EASTERN REGION INC
3230 S BUFFALO DR
SUITE 105
LAS VEGAS, NV89117-2505
 Phone: 224-558-9705
 Fax: 702-990-7371
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for INTEGRATED MEDICAL GROUP EASTERN REGION INC

NPI Number 1760815922
LBN Legal business name INTEGRATED MEDICAL GROUP EASTERN REGION INC
Authorized official AMANDO SILVA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2013
Last updated 08/12/2013 - About 13 years ago
Identifiers
FL License # P13000057299
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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