Healthcare Provider Details

I. General information

NPI: 1922325448
Provider Name (Legal Business Name): GEORGE J PAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: GEORGE J PARLITSIS M.D.

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 N TENAYA WAY STE 104
LAS VEGAS NV
89128-0453
US

IV. Provider business mailing address

2851 N TENAYA WAY STE 104
LAS VEGAS NV
89128-0453
US

V. Phone/Fax

Practice location:
  • Phone: 702-702-2002
  • Fax:
Mailing address:
  • Phone: 702-702-2002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number22270
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: