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: CHARLES H. TADLOCK, M.D. LTD

MEDICARE: CHARLES H. TADLOCK, M.D. LTD
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
1332900000XNon-Pharmacy Dispensing Site

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962720078
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLES H. TADLOCK, M.D. LTD
Provider Business Mailing Address
First Line : 2980 N BEVERLY GLEN CIR
Second Line : SUITE 301
City : LOS ANGELES
State : CA
Zip : 90077-1726
Country : US
Telephone Number : 310-474-9809
Fax Number :
Provider Business Practice Location Address
First Line : 6725 S EASTERN AVE STE 6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3949
Country : US
Telephone Number : 702-474-0200
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHARLES H TADLOCK
Credential : M.D.
Telephone Number : 702-474-0200
Provider Enumeration Date : 05/13/2010
Last Update Date : 03/01/2011

Similar Medicare Providers

1104769199 — TAWNY SHARDE BROWN
Practice Location Address:
6725 S EASTERN AVE STE 1
LAS VEGAS, NV
89119-3949
Practice Phone: 702-646-2722
Practice Fax:
1316880321 — JEFFREY DALTON MITCHELL
Practice Location Address:
6725 S EASTERN AVE STE 1
LAS VEGAS, NV
89119-3949
Practice Phone: 702-646-2722
Practice Fax:
1598608366 — ANTHONY RAYMOND THOMAS
Practice Location Address:
6725 S EASTERN AVE STE 1
LAS VEGAS, NV
89119-3949
Practice Phone: 702-646-2722
Practice Fax:
1932043700 — JAMES JULIAN ROCA
Practice Location Address:
6725 S EASTERN AVE STE 1
LAS VEGAS, NV
89119-3949
Practice Phone: 702-646-2722
Practice Fax:
1407528573 — VANESSA RENE GREEN
Practice Location Address:
6725 S EASTERN AVE STE 1
LAS VEGAS, NV
89119-3949
Practice Phone: 702-331-6200
Practice Fax:
1235484338 — A BETTER WAY HOME CARE, LLC
Practice Location Address:
6725 S EASTERN AVE STE 1
LAS VEGAS, NV
89119-3949
Practice Phone: 702-331-6200
Practice Fax: 702-331-6201

Directions to “CHARLES H. TADLOCK, M.D. LTD ” 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.