MEDICARE: TMS LAS VEGAS PLLC

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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1962039594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMS LAS VEGAS PLLC

Provider Business Mailing Address
First Line	:	2340 PASEO DEL PRADO STE D307
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4342
Country	:	US
Telephone Number	:	702-222-1812
Fax Number	:

Provider Business Practice Location Address
First Line	:	2340 PASEO DEL PRADO STE D307
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4342
Country	:	US
Telephone Number	:	702-222-1812
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NORTON A ROITMAN
Credential	:	MD
Telephone Number	:	702-222-1812

Provider Enumeration Date	:	03/24/2020
Last Update Date	:	03/24/2020

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Directions to “TMS LAS VEGAS PLLC ” Practice Location

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