Provider Demographics
NPI:1023701968
Name:A&Z MEDICAL GROUP LLC
Entity type:Organization
Organization Name:A&Z MEDICAL GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:NASSAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-780-4441
Mailing Address - Street 1:8760 S MARYLAND PKWY STE 118
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-6710
Mailing Address - Country:US
Mailing Address - Phone:702-780-4441
Mailing Address - Fax:702-780-5277
Practice Address - Street 1:8760 S MARYLAND PKWY STE 118
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-6710
Practice Address - Country:US
Practice Address - Phone:702-780-4441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A&Z MEDICAL GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-26
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based