Provider Demographics
NPI:1720048549
Name:MABEY, REX GARN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:REX
Middle Name:GARN
Last Name:MABEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2881 N TENAYA WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0452
Mailing Address - Country:US
Mailing Address - Phone:702-242-8800
Mailing Address - Fax:702-242-8949
Practice Address - Street 1:2881 N TENAYA WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0452
Practice Address - Country:US
Practice Address - Phone:702-242-8800
Practice Address - Fax:702-242-8949
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5758207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2002342Medicaid
NV2002342Medicaid
NVVBFBXZMedicare PIN