Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chmm Pahrump MSO, LLC

Organization General Practice Physician · NPI 1417684713

Chmm Pahrump MSO, LLC is a General Practice Physician in Pahrump, Nevada. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

360 S Lola Ln
Pahrump, NV 89048-0884
Phone: (702) 449-9173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1417684713
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChmm Pahrump MSO, LLC
Authorized official Tillie Andrade — Mso Director · (702) 449-9173
Other names Pahrump Community Physicians Group
NPI enumeratedAugust 5, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address222 S Meramec Ave Ste 202, Saint Louis, MO 63105-3514

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