Healthcare Provider Details

I. General information

NPI: 1497271399
Provider Name (Legal Business Name): CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8915 S PECOS RD STE 19A
HENDERSON NV
89074-7150
US

IV. Provider business mailing address

PO BOX 840159
LOS ANGELES CA
90084-0159
US

V. Phone/Fax

Practice location:
  • Phone: 702-476-9700
  • Fax:
Mailing address:
  • Phone: 702-476-9700
  • Fax: 702-476-9138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number15175
License Number StateNV

VIII. Authorized Official

Name: NEVILLE F CAMPBELL
Title or Position: CEO/MEDICAL DIRECTOR
Credential:
Phone: 702-476-9700