Provider Demographics
NPI:1093492159
Name:TOTAL CARE MEDICAL CONSULTANT INC
Entity Type:Organization
Organization Name:TOTAL CARE MEDICAL CONSULTANT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:FRIDAY
Authorized Official - Middle Name:OGHENERO
Authorized Official - Last Name:IROROBEJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-945-4202
Mailing Address - Street 1:3399 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3312
Mailing Address - Country:US
Mailing Address - Phone:702-444-0438
Mailing Address - Fax:725-240-7735
Practice Address - Street 1:3399 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3312
Practice Address - Country:US
Practice Address - Phone:702-444-0438
Practice Address - Fax:725-240-7735
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL CARE MEDICAL CONSULTANT INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty