Healthcare Provider Details
I. General information
NPI: 1164909396
Provider Name (Legal Business Name): NEVADA HEART AND VASCULAR CENTER RESH LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2018
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2839 ST. ROSE PKWY., STE. 160
HENDERSON NV
89052-4849
US
IV. Provider business mailing address
801 S RANCHO DR STE E6
LAS VEGAS NV
89106-3812
US
V. Phone/Fax
- Phone: 702-240-6482
- Fax: 702-240-8529
- Phone: 702-240-6482
- Fax: 702-804-0957
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
HARRY
RESH
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 702-240-6482