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EXTENSIVE PAIN PRIMARY AND URGENT CARE CENTER OF NEVADA.LLC NPI 1366092462


NPI Information

NPI: 1366092462
Provider Name: EXTENSIVE PAIN PRIMARY AND URGENT CARE CENTER OF NEVADA.LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6465 W SAHARA AVE STE 103
LAS VEGAS, NV
ZIP 89146
Phone: (702) 822-1881
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EXTENSIVE PAIN PRIMARY AND URGENT CARE CENTER OF NEVADA.LLC is a specialist in Las Vegas, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EXTENSIVE PAIN PRIMARY AND URGENT CARE CENTER OF NEVADA.LLC NPI is 1366092462. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6465 W SAHARA AVE STE 103
LAS VEGAS, NV
ZIP 89146-071
Phone: (702) 822-1881
Fax: (702) 822-1880

The provider's authorized official is Twyla Rashelle Russell .
The authorized official title is Ownerceo and has the following contact phone number (702) 822-1881.

The enumeration date for this NPI number is 9/19/2019 and was last updated on 11/21/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.