Healthcare Provider Details

I. General information

NPI: 1932851912
Provider Name (Legal Business Name): ELENA LANGDON MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 01/21/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 W HORIZON RIDGE PKWY STE 110
HENDERSON NV
89052-2718
US

IV. Provider business mailing address

2405 W HORIZON RIDGE PKWY STE 110
HENDERSON NV
89052-2718
US

V. Phone/Fax

Practice location:
  • Phone: 702-433-5357
  • Fax: 702-433-1238
Mailing address:
  • Phone: 702-433-5357
  • Fax: 702-433-1238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ELENA LANGDON
Title or Position: MD
Credential: MD
Phone: 702-595-4879