Healthcare Provider Details

I. General information

NPI: 1891503892
Provider Name (Legal Business Name): NEUROLOGY AND EPILEPSY SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2024
Last Update Date: 09/02/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 W FLAMINGO RD
LAS VEGAS NV
89103-2223
US

IV. Provider business mailing address

6330 W FLAMINGO RD
LAS VEGAS NV
89103-2223
US

V. Phone/Fax

Practice location:
  • Phone: 702-796-5505
  • Fax: 702-732-9830
Mailing address:
  • Phone: 702-796-5505
  • Fax: 702-732-9830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number
License Number State

VIII. Authorized Official

Name: SARAH COX
Title or Position: PRACTICE MANAGER
Credential:
Phone: 702-796-5505