| Organization Name: | COMPLETE FAMILY CARE MEDICAL, PPLC |
| NPI Number: | 1871942128 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUAN CARLOS MARTINEZ (OWNER) |
| Mailing Address: | 600 Whitney Ranch Dr Suite #b-09 Henderson |
| State: | NV US |
| Postal Code: | 890142611 |
| Phone Number: | 7023355022 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2016 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |