Healthcare Provider Details

I. General information

NPI: 1457460529
Provider Name (Legal Business Name): DONALD E HOARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 GOLDRING AVE SUITE 200
LAS VEGAS NV
89106-4002
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 702-877-0814
  • Fax: 702-877-3238
Mailing address:
  • Phone: 702-877-0814
  • Fax: 702-877-3238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number036046409
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number14613
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: