Provider Demographics
NPI:1497597975
Name:NV ALWAYS YOUR DOCTOR LLC
Entity type:Organization
Organization Name:NV ALWAYS YOUR DOCTOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:REMEDIOS CASTELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-809-6428
Mailing Address - Street 1:4580 S EASTERN AVE STE 29B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6100
Mailing Address - Country:US
Mailing Address - Phone:702-954-4915
Mailing Address - Fax:725-204-0767
Practice Address - Street 1:4580 S EASTERN AVE STE 29B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6100
Practice Address - Country:US
Practice Address - Phone:702-954-4915
Practice Address - Fax:725-204-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty