Provider Demographics
NPI:1225182140
Name:T & G MEDICAL CLINIC
Entity Type:Organization
Organization Name:T & G MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIU YING
Authorized Official - Middle Name:
Authorized Official - Last Name:TONG
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:702-368-2623
Mailing Address - Street 1:5700 SPRING MOUNTAIN RD
Mailing Address - Street 2:#D
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146
Mailing Address - Country:US
Mailing Address - Phone:702-368-2623
Mailing Address - Fax:702-368-2527
Practice Address - Street 1:5700 SPRING MOUNTAIN RD
Practice Address - Street 2:#D
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-368-2623
Practice Address - Fax:702-368-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV53174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty