Provider Demographics
NPI:1336495498
Name:R & R MEDICAL GROUP, LLC
Entity Type:Organization
Organization Name:R & R MEDICAL GROUP, LLC
Other - Org Name:DOCTORS EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GUY
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-386-7339
Mailing Address - Street 1:6132 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3051
Mailing Address - Country:US
Mailing Address - Phone:702-431-8207
Mailing Address - Fax:
Practice Address - Street 1:655 S GREEN VALLEY PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-0404
Practice Address - Country:US
Practice Address - Phone:702-431-7337
Practice Address - Fax:702-431-1738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care