WESTERN STATE PAIN INSTITUTE NPI 1932693447

NPI Information

NPI: 1932693447
Provider Name: WESTERN STATE PAIN INSTITUTE
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 29D2164582

Address:
3910 PECOS MCLEOD STE C100
LAS VEGAS, NV
ZIP 89121
Phone: (702) 629-7575
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WESTERN STATE PAIN INSTITUTE is a pain clinic center in Las Vegas, NV. WESTERN STATE PAIN INSTITUTE NPI is 1932693447. The provider is registered as an organization entity type.

The provider's business location address is:

3910 PECOS MCLEOD STE C100
LAS VEGAS, NV
ZIP 89121-304
Phone: (702) 629-7575
Fax: (702) 629-7616

The provider's authorized official is Frances Mccrary .
The authorized official title is Owner and has the following contact phone number (702) 629-7577.

The CLIA number assigned to this NPI record is 29D2164582 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2018 and was last updated on 12/19/2019.

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	261QP3300X	Clinic/Center	Pain	2004752-062-101	NEVADA	Yes

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: 4/28/2024

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