Healthcare Provider Details

I. General information

NPI: 1851854426
Provider Name (Legal Business Name): STEVE ALCAZAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3014 W CHARLESTON BLVD STE 130
LAS VEGAS NV
89102-0083
US

IV. Provider business mailing address

3014 W CHARLESTON BLVD STE 130
LAS VEGAS NV
89102-0083
US

V. Phone/Fax

Practice location:
  • Phone: 702-671-5127
  • Fax: 702-671-6440
Mailing address:
  • Phone: 702-671-5127
  • Fax: 702-671-6440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number24149
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number24149
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: