Healthcare Provider Details

I. General information

NPI: 1477664555
Provider Name (Legal Business Name): RESPIRATORY ASSOCIATED SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 S PECOS RD STE 100
LAS VEGAS NV
89120-1290
US

IV. Provider business mailing address

5250 S PECOS RD STE 100
LAS VEGAS NV
89120-1290
US

V. Phone/Fax

Practice location:
  • Phone: 702-878-1958
  • Fax: 702-869-1959
Mailing address:
  • Phone: 702-878-1958
  • Fax: 702-869-1959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278P1005X
TaxonomyPulmonary Rehabilitation Certified Respiratory Therapist
License NumberRC346
License Number StateNV

VIII. Authorized Official

Name: DEANNA FRICKE
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-878-1958