Healthcare Provider Details

I. General information

NPI: 1821548900
Provider Name (Legal Business Name): RYAN LANGSON BC-HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2016
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 N PECOS RD STE J
HENDERSON NV
89074-3379
US

IV. Provider business mailing address

80 N PECOS RD STE J
HENDERSON NV
89074-3379
US

V. Phone/Fax

Practice location:
  • Phone: 702-456-1110
  • Fax:
Mailing address:
  • Phone: 702-456-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS-379
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: