Healthcare Provider Details

I. General information

NPI: 1295013555
Provider Name (Legal Business Name): COMPREHENSIVE AND INTERVENTIONAL PAIN MANAGEMENT LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 01/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10561 JEFFREYS ST SUITE 211
HENDERSON NV
89052-4266
US

IV. Provider business mailing address

10561 JEFFREYS ST SUITE 211
HENDERSON NV
89052-4266
US

V. Phone/Fax

Practice location:
  • Phone: 702-990-4530
  • Fax: 702-990-4527
Mailing address:
  • Phone: 702-990-4530
  • Fax: 702-990-4527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberNV20111501406
License Number StateNV

VIII. Authorized Official

Name: DR. RAINER S VOGEL
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 702-990-4530