Provider Demographics
NPI:1952929291
Name:PAJARA CARE CLINIC, PC
Entity Type:Organization
Organization Name:PAJARA CARE CLINIC, PC
Other - Org Name:ACCESS MEDICAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD OF DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA CRISTINA
Authorized Official - Middle Name:LLMANZARES
Authorized Official - Last Name:PAJARA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-592-1202
Mailing Address - Street 1:3737 PECOS MCLEOD STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-4263
Mailing Address - Country:US
Mailing Address - Phone:702-369-5436
Mailing Address - Fax:702-650-2404
Practice Address - Street 1:3737 PECOS MCLEOD STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-4263
Practice Address - Country:US
Practice Address - Phone:702-369-5436
Practice Address - Fax:702-650-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty