Provider Demographics
NPI:1043860273
Name:NEVCAM WORKS CORPORATION
Entity Type:Organization
Organization Name:NEVCAM WORKS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMACHO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:915-309-9235
Mailing Address - Street 1:3080 COYOTE PARK DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2759
Mailing Address - Country:US
Mailing Address - Phone:915-309-9235
Mailing Address - Fax:915-440-3780
Practice Address - Street 1:3080 COYOTE PARK DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2759
Practice Address - Country:US
Practice Address - Phone:915-309-9235
Practice Address - Fax:915-440-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care