Brooks Family Clinic LLC
Family Medicine, Addiction Medicine in North Las Vegas, NV. Organization (NPI-2).
NPI number1982000824
StatusActive
Last updated in NPPESMay 31, 2018
Details
- NPI
- 1982000824
- Entity type
- Organization (NPI-2)
- Legal business name
- Brooks Family Clinic LLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2014
- Last updated
- May 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 207SG0201X | Medical Genetics, Clinical Genetics (M.D.) | – | – | |
| 261QF0050X | Clinic/Center, Family Planning, Non-Surgical | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Practice location
3550 W Cheyenne Ave Ste 100North Las Vegas, NV 89032-8252
Phone 702-570-5200
Mailing address
3550 W Cheyenne Ave Ste 100North Las Vegas, NV 89032-8252
Phone 702-570-5200
Authorized official
Devin Brooks
Ceo
7025705200
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