Provider Demographics
NPI:1659442655
Name:GEX WOMENS CARE PC
Entity Type:Organization
Organization Name:GEX WOMENS CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:P
Authorized Official - Last Name:GEX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-366-1268
Mailing Address - Street 1:8285 W ARBY AVE STE 380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2237
Mailing Address - Country:US
Mailing Address - Phone:702-366-1268
Mailing Address - Fax:702-269-8947
Practice Address - Street 1:8285 W ARBY AVE STE 380
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2237
Practice Address - Country:US
Practice Address - Phone:702-366-1268
Practice Address - Fax:702-269-8947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV103259Medicare PIN
NVV103259Medicare PIN