Provider Demographics
NPI:1861804148
Name:FRANCIS, SAMUAL R (MD)
Entity type:Individual
Prefix:
First Name:SAMUAL
Middle Name:R
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3321
Mailing Address - Country:US
Mailing Address - Phone:702-952-3400
Mailing Address - Fax:702-952-3364
Practice Address - Street 1:3730 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169
Practice Address - Country:US
Practice Address - Phone:702-952-3400
Practice Address - Fax:702-952-3713
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9538369-12052085R0001X
NV188202085R0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program