Gaspar De Alba, Mario J.

Gaspar De Alba, Mario J. is an individual health care provider with primary practice located at 630 S Rancho Dr Ste A , Las Vegas NV 89106-4849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Gaspar De Alba, Mario J. can be contacted via phone (702) 998-9505.

Contact Information

Primary practice address
630 S Rancho Dr Ste A Las Vegas NV 89106-4849
Phone: (702) 998-9505
Fax: (702) 527-7939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X M3232 Texas
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 14554 Nevada

Profile Details

NPI number 1275546590
LBN Legal business name Gaspar De Alba, Mario J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jun 2nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275546590 NPPES
Nevada MEDICAID 1275546590
Nevada MEDICAID 178999201
Nevada Other GW226Z
Nevada Other 8H0437

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