DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTHERN NEVADA MEDICAL & PEDIATRICS ASSOCIATES LLC

MEDICARE: SOUTHERN NEVADA MEDICAL & PEDIATRICS ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center9691NV

General Provider Information

NPI Number : 1093230138
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN NEVADA MEDICAL & PEDIATRICS ASSOCIATES LLC
Provider Business Mailing Address
First Line : 3301 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1835
Country : US
Telephone Number : 702-968-0100
Fax Number : 702-968-0104
Provider Business Practice Location Address
First Line : 3301 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1835
Country : US
Telephone Number : 702-968-0100
Fax Number : 702-968-0104
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. CAMILO TABORA JR.
Credential : MD
Telephone Number : 702-968-0100
Provider Enumeration Date : 08/10/2017
Last Update Date : 07/21/2022

Similar Medicare Providers

1265543458 — CAMILO BERNAL TABORA JR. M.D.
Practice Location Address:
3301 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1835
Practice Phone: 702-968-0100
Practice Fax: 702-968-0104
1891806089 — ERIC ULANDAY LAZO M.D.
Practice Location Address:
3301 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1835
Practice Phone: 702-433-5296
Practice Fax: 702-433-5299
1922101583 — DR. ARIC E. CRUZ D.C.
Practice Location Address:
3301 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1835
Practice Phone: 702-302-1288
Practice Fax: 702-568-0352
1508949462 — MARIA DESQUITADO-TABORA MD
Practice Location Address:
3301 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1835
Practice Phone: 702-968-0100
Practice Fax: 702-968-0104
1053592774 — ERIC U LAZO LLC
Practice Location Address:
3301 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1835
Practice Phone: 702-968-0102
Practice Fax: 702-968-0104
1245496017 — VEIN CLINIC OF LAS VEGAS INC
Practice Location Address:
3309 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1835
Practice Phone: 702-838-0444
Practice Fax: 702-878-8643

Directions to “SOUTHERN NEVADA MEDICAL & PEDIATRICS ASSOCIATES LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.