NPI 1982150744
Executive Las Vegas
Practice location
- Address
- 3950 W Tompkins Ave, Las Vegas, NV 89103-5524
- Phone
- (702) 646-4661
Authorised official
- Name
- James Joseph Jimmerson
- Title
- President
- Phone
- (702) 949-5384
Registered specialties
Taxi
Primary
Registry record
- NPI
- 1982150744
- Entity type
- Organization
- NPI issued
- 31 Aug 2016
- Record last updated
- 31 Aug 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.