Provider Demographics
NPI:1821754599
Name:NEXT GEN MEDICAL LLC
Entity Type:Organization
Organization Name:NEXT GEN MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:K
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-481-4481
Mailing Address - Street 1:902 SAGE HOLLOW CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-1453
Mailing Address - Country:US
Mailing Address - Phone:702-481-4481
Mailing Address - Fax:702-920-8366
Practice Address - Street 1:902 SAGE HOLLOW CIR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-1453
Practice Address - Country:US
Practice Address - Phone:702-481-4481
Practice Address - Fax:702-920-8366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care