Healthcare Provider Details

I. General information

NPI: 1114084464
Provider Name (Legal Business Name): DANIEL E BATLAN MD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 W HORIZON RIDGE PKWY SUITE #270
HENDERSON NV
89012-3494
US

IV. Provider business mailing address

1930 VILLAGE CENTER CIR #3-710
LAS VEGAS NV
89134-6299
US

V. Phone/Fax

Practice location:
  • Phone: 702-838-8004
  • Fax: 702-838-5085
Mailing address:
  • Phone: 702-838-8004
  • Fax: 702-838-5085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberNV9300
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: