ROBERSONLTD NPI 1235309030

NPI Information

NPI: 1235309030
Provider Name: ROBERSONLTD

Doing Business As: PARK HILL FAMILY PRACTICE

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
3211 W CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89102
Phone: (702) 871-3730
Get Directions

ROBERSONLTD is a medical physician assistant in Las Vegas, NV. ROBERSONLTD NPI is 1235309030. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Hill Family Practice.

The provider's business location address is:

3211 W CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89102-953
Phone: (702) 871-3730
Fax: (702) 871-7379

The provider's authorized official is Charlezetta Roberson .
The authorized official title is Physician Assistant and has the following contact phone number (702) 871-3730.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 4/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	363A00000X	Physician Assistant		546	NEVADA	No
3	363AM0700X	Physician Assistant	Medical	546	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2402116	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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