NPI 1568850204

Health to Nevada

Organisation Preferred Provider Organization Las Vegas, NV

Practice location

Address: 7251 W Lake Mead Blvd STE 300, Las Vegas, NV 89128-8380
Phone: (702) 405-8392
Fax: (702) 562-4062

Authorised official

Name: Tyler Michael Bannister
Title: President
Phone: (775) 772-7551

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence NV201441740613 (NV)

Other Preferred Provider Organization providers in Nevada →

Registry record

NPI: 1568850204
Entity type: Organization
NPI issued: 5 Jan 2015
Record last updated: 9 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.