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Specialty details in registry · Las Vegas, NV

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At a glance

5757 Wayne Newton Blvd, Las Vegas, NV 89111

NPPES record updated Jul 9, 2018. Public records can lag behind changes at a practice.

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Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.

Practice location

5757 Wayne Newton Blvd Terminal 1, 2Nd Floor
Las Vegas, NV 89111

Professional details: NPI, taxonomy & registry record

NPI1265966626

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QU0200X
Enumeration date: Apr 12, 2017
Record updated: Jul 9, 2018

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QU0200X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5757 Wayne Newton Blvd
Terminal 1, 2Nd Floor
Las Vegas, NV 89111

Phone: (702) 846-0020
Fax: (702) 846-0024

Mailing address

5300 TOWN AND COUNTRY BLVD
SUITE 260
FRISCO, TX 750346894

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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