| NPI | 1720292642 |
|---|---|
| Doing Business As | CENTER FOR PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | CHARLES HENRY TADLOCK President 702-474-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NV 48411) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: NV 8402) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: AZ 26067) | |
| 363AM0700X Physician Assistant Medical (Licence: NV PA1256) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-10-13 |