| Thais Sierra Pacific Pc | |
|
1107 Us Highway 395 N Gardnerville NV 89410-5304 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Thais Sierra Pacific Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1107 Us Highway 395 N, Gardnerville, Nevada |
| Authorized Official Name and Position | Warren Thai (SOLE OWNER) |
| Authorized Official Contact | 7753138926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thais Sierra Pacific Pc Po Box 18228 Reno NV 89511-0228 Ph: (702) 453-3799 | Thais Sierra Pacific Pc 1107 Us Highway 395 N Gardnerville NV 89410-5304 Ph: (702) 453-3799 |
| NPI Number | 1306304472 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 03/07/2019 |
| Medicare PECOS PAC ID | 0042552762 |
|---|---|
| Medicare Enrollment ID | O20190430000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306304472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Warren P Thai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902923451 PECOS PAC ID: 5991850604 Enrollment ID: I20090902000149 |
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