Provider Demographics
NPI:1265112155
Name:INTEGRATED MEDICAL CARE INC
Entity type:Organization
Organization Name:INTEGRATED MEDICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TEODORA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL PILAR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:702-686-6152
Mailing Address - Street 1:326 AUSTER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4426
Mailing Address - Country:US
Mailing Address - Phone:702-686-6152
Mailing Address - Fax:
Practice Address - Street 1:326 AUSTER PARK AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4426
Practice Address - Country:US
Practice Address - Phone:702-686-6152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty