Charles H. Tadlock, M.D. Ltd

LBN: Charles H. Tadlock, M.D. Ltd
Charles H. Tadlock, M.D. Ltd is an health care organization with primary practice located at 6725 S Eastern Ave Ste 6 , Las Vegas NV 89119-3949. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Charles H. Tadlock, M.D. Ltd can be contacted via phone (702) 474-0200, or through Tadlock, Charles H via phone (702) 474-0200.

Contact Information

Primary practice address
6725 S Eastern Ave Ste 6 Las Vegas NV 89119-3949
Phone: (702) 474-0200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tadlock, Charles H Doctor of Medicine (MD)
Phone: (702) 474-0200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1962720078
LBN Legal business name Charles H. Tadlock, M.D. Ltd
DBA Doing business as
Authorized official Tadlock, Charles H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 13th, 2010
Last updated Mar 1st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962720078 NPPES
Nevada MEDICAID 2019927

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