Healthcare Provider Details

I. General information

NPI: 1023355450
Provider Name (Legal Business Name): OMS SURGICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2013
Last Update Date: 01/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7446 BERMUDA ISLAND ST
LAS VEGAS NV
89123-1173
US

IV. Provider business mailing address

7446 BERMUDA ISLAND ST
LAS VEGAS NV
89123-1173
US

V. Phone/Fax

Practice location:
  • Phone: 702-808-2998
  • Fax: 866-496-5083
Mailing address:
  • Phone: 702-808-2998
  • Fax: 866-496-5083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. MANUEL PERALES
Title or Position: PRINCIPLE
Credential:
Phone: 702-808-2998