Healthcare Provider Details

I. General information

NPI: 1992031777
Provider Name (Legal Business Name): NEVADA HEADACHE INSTITUTE (NAGY) PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2009
Last Update Date: 10/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8285 W ARBY AVE STE 100B
LAS VEGAS NV
89113-2235
US

IV. Provider business mailing address

PO BOX 371629
LAS VEGAS NV
89137-1629
US

V. Phone/Fax

Practice location:
  • Phone: 702-432-3224
  • Fax:
Mailing address:
  • Phone: 702-432-3224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ABRAHAM J NAGY
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 702-432-3224