Provider Demographics
NPI:1588866917
Name:PEDIATRIC AFTER-HOURS CARE
Entity type:Organization
Organization Name:PEDIATRIC AFTER-HOURS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-329-1308
Mailing Address - Street 1:PO BOX 50490
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89435-0490
Mailing Address - Country:US
Mailing Address - Phone:775-329-1308
Mailing Address - Fax:
Practice Address - Street 1:75 PRINGLE WAY STE 300
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-8425
Practice Address - Country:US
Practice Address - Phone:775-329-1308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty