Healthcare Provider Details

I. General information

NPI: 1750953089
Provider Name (Legal Business Name): VEGAS VISITING PHYSICIANS ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5765 S RAINBOW BLVD STE 111
LAS VEGAS NV
89118-2537
US

IV. Provider business mailing address

5765 S RAINBOW BLVD STE 111
LAS VEGAS NV
89118-2537
US

V. Phone/Fax

Practice location:
  • Phone: 725-726-7914
  • Fax: 504-370-5627
Mailing address:
  • Phone: 725-726-7914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY SUAREZ
Title or Position: MANAGING PARTNER
Credential:
Phone: 332-239-5556