| 1st Clark County Medical Clinic Llc | |
|
1085 Hwy 95 Ste E Hawthorne NV 89415-7771 | |
| (702) 445-1196 | |
| Not Available |
| Full Name | 1st Clark County Medical Clinic Llc |
|---|---|
| Speciality | General Practice |
| Location | 1085 Hwy 95 Ste E, Hawthorne, Nevada |
| Authorized Official Name and Position | Grezilda Mae Cabo (CEO) |
| Authorized Official Contact | 7024451196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Clark County Medical Clinic Llc 1085 Hwy 95 Ste E Hawthorne NV 89415-7771 Ph: (702) 445-1196 | 1st Clark County Medical Clinic Llc 1085 Hwy 95 Ste E Hawthorne NV 89415-7771 Ph: (702) 445-1196 |
| NPI Number | 1154022523 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/04/2026 |
| Certification Date | 03/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154022523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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