Organization · Type 2 NPI

Garnet Medical Clinic

Family Medicine Physician · Las Vegas, NV

NPI number 1093582512 Active

Practice location

9488 W Flamingo Rd Ste 100
Las Vegas, NV 89147-5717

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI record

NPI: 1093582512
Entity type: Organization (Type 2)
Issued: Dec 5, 2023
Last updated: Apr 23, 2024
Status: Active

Other names

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Garnet Medical Clinic · doing business as
Garnet Medical Clinic LLC · doing business as
Garnet Medical Clinic · other name

Authorized official

Delsa A Dagalea, APRN
Provider
(702) 275-4487

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093582512

Garnet Medical Clinic's National Provider Identifier is 1093582512, issued on Dec 5, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 23, 2024.