Healthcare Provider Details

I. General information

NPI: 1336072008
Provider Name (Legal Business Name): HARDY MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9499 W CHARLESTON BLVD STE 200
LAS VEGAS NV
89117-7147
US

IV. Provider business mailing address

9499 W CHARLESTON BLVD STE 200
LAS VEGAS NV
89117-7147
US

V. Phone/Fax

Practice location:
  • Phone: 702-445-2150
  • Fax:
Mailing address:
  • Phone: 702-445-2150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA HARDY
Title or Position: OWNER
Credential: MD
Phone: 702-445-2150