Healthcare Provider Details

I. General information

NPI: 1770306664
Provider Name (Legal Business Name): HEART CARE IPA RESH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BUFFALO DR STE 100
LAS VEGAS NV
89145-0397
US

IV. Provider business mailing address

801 S RANCHO DR STE E6
LAS VEGAS NV
89106-3812
US

V. Phone/Fax

Practice location:
  • Phone: 702-240-6482
  • Fax: 702-240-8529
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM RESH
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 720-240-6482