Healthcare Provider Details

I. General information

NPI: 1699710749
Provider Name (Legal Business Name): FIELDEN HANSON ISAACS MIYADA ROBISON YEH LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7160 RAFAEL RIVERA WAY STE 210
LAS VEGAS NV
89113-5395
US

IV. Provider business mailing address

PO BOX 840857
DALLAS TX
75284-0857
US

V. Phone/Fax

Practice location:
  • Phone: 702-878-0070
  • Fax: 702-805-0307
Mailing address:
  • Phone: 725-204-4632
  • Fax: 702-805-0307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN HAFEN
Title or Position: MD
Credential: M.D.
Phone: 702-878-0070