Provider Demographics
NPI:1447452339
Name:PERSONAL MEDICAL CARE, LLC
Entity type:Organization
Organization Name:PERSONAL MEDICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-328-2708
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:LOGANDALE
Mailing Address - State:NV
Mailing Address - Zip Code:89021-0487
Mailing Address - Country:US
Mailing Address - Phone:702-328-2708
Mailing Address - Fax:702-398-3898
Practice Address - Street 1:4425 S PECOS RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5037
Practice Address - Country:US
Practice Address - Phone:702-898-9191
Practice Address - Fax:702-442-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-03
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11614207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty