Healthcare Provider Details

I. General information

NPI: 1265490205
Provider Name (Legal Business Name): ARTHUR ANTHONY ISLAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E STADIUM WAY
RENO NV
89557-0001
US

IV. Provider business mailing address

1155 MILL ST MS M-14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-1000
  • Fax: 775-982-8045
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-8045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL2341
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberL2341
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number15834
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number15834
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: