Provider Demographics
NPI:1164488326
Name:EVINS, WARREN HAROLD (MD, PHD, FACP)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:HAROLD
Last Name:EVINS
Suffix:
Gender:M
Credentials:MD, PHD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1769 E RUSSELL RD
Mailing Address - Street 2:UMC MCCARRAN QUICK CARE
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-2708
Mailing Address - Country:US
Mailing Address - Phone:702-383-3600
Mailing Address - Fax:702-795-2015
Practice Address - Street 1:1769 E RUSSELL RD
Practice Address - Street 2:UMC MCCARRAN QUICK CARE
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-2708
Practice Address - Country:US
Practice Address - Phone:702-383-3600
Practice Address - Fax:702-795-2015
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4281207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVC96009Medicare UPIN