Provider Demographics
NPI:1376198556
Name:PATIENTS CHOICE PRIMARY CARE PHYSICIANS
Entity Type:Organization
Organization Name:PATIENTS CHOICE PRIMARY CARE PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-563-1717
Mailing Address - Street 1:870 SEVEN HILLS DR STE 202
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4379
Mailing Address - Country:US
Mailing Address - Phone:702-885-1391
Mailing Address - Fax:
Practice Address - Street 1:870 SEVEN HILLS DR STE 202
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4379
Practice Address - Country:US
Practice Address - Phone:702-885-1391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty