Serbousek, Thomas R
Serbousek, Thomas R is an individual health care provider with primary practice located at 5785 Centennial Center Blvd Ste 190 , Las Vegas NV 89149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Serbousek, Thomas R can be contacted via phone (702) 383-6270.Contact Information
Primary practice address
5785 Centennial Center Blvd Ste 190
Las Vegas NV 89149
Phone: (702) 383-6270
Fax: (702) 395-3023
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18074 | Nevada |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31415 | Iowa |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 31415 | Iowa |
Profile Details
NPI number | 1992770432 |
---|---|
LBN Legal business name | Serbousek, Thomas R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 20th, 2006 |
Last updated | Feb 16th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992770432 | NPPES |
Nevada | MEDICAID | 1992770432 | |
Nevada | Other | 18074 |
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