Healthcare Provider Details

I. General information

NPI: 1770753782
Provider Name (Legal Business Name): ZOLTAN TAMAS HORVATH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2008
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 E FLAMINGO RD 334
LAS VEGAS NV
89121-4320
US

IV. Provider business mailing address

3230 E FLAMINGO RD 334
LAS VEGAS NV
89121-4320
US

V. Phone/Fax

Practice location:
  • Phone: 702-454-8236
  • Fax: 702-454-8279
Mailing address:
  • Phone: 702-454-8236
  • Fax: 702-454-8279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number9191
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: