Organization · Type 2 NPI

Modern Wellness Clinic, LLC

Family Medicine Physician · Las Vegas, NV

NPI number 1245801273 Active

Practice location

5375 S Fort Apache Rd
Las Vegas, NV 89148-7623

Call (702) 463-9159 Map

Other practice locations

3115 S Eastern Ave, Las Vegas, NV 89169-3308 · (702) 463-9159

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Infectious Disease Physician	207RI0200X	None listed
Psychiatry Physician	2084P0800X	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.

9 other providers at this address

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NPI record

NPI: 1245801273
Entity type: Organization (Type 2)
Issued: Jul 9, 2021
Last updated: Apr 20, 2026
Status: Active

Other names

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Modern Wellness Clinic · doing business as
Modern Wellness Clinic · doing business as

Authorized official

Robert J Webb, PA
Managing Parner
(702) 236-7171

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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 1245801273

Modern Wellness Clinic, LLC's National Provider Identifier is 1245801273, issued on Jul 9, 2021. 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 20, 2026.