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NPI Code Detail

MEDICARE: HAYDEE B DOCASAR MD

MEDICARE: HAYDEE B DOCASAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician10887NV
2207V00000XObstetrics & Gynecology Physician10887NV

General Provider Information

NPI Number : 1245343037
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYDEE B DOCASAR MD
Provider Business Mailing Address
First Line : 8255 LAS VEGAS BLVD S UNIT 309
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1067
Country : US
Telephone Number : 702-301-2111
Fax Number : 855-898-8685
Provider Business Practice Location Address
First Line : 6070 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5615
Country : US
Telephone Number : 702-550-4870
Fax Number : 855-898-8685
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 11/15/2024

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Directions to “ HAYDEE B DOCASAR MD” Practice Location

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