Healthcare Provider Details

I. General information

NPI: 1619440286
Provider Name (Legal Business Name): EPIC BILLING MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2019
Last Update Date: 01/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3787 TERRACE CT
LAS VEGAS NV
89120-1273
US

IV. Provider business mailing address

3787 TERRACE CT
LAS VEGAS NV
89120-1273
US

V. Phone/Fax

Practice location:
  • Phone: 702-741-0024
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CARLA PARSONS
Title or Position: OWNER
Credential:
Phone: 702-741-0024