MEDICARE: THOMAS L VATER DO LTD

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
1	207XX0801X	Orthopaedic Trauma Physician	954	NV
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	954	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467521401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS L VATER DO LTD

Provider Business Mailing Address
First Line	:	7200 CATHEDRAL ROCK DR
Second Line	:	SUITE #210
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0438
Country	:	US
Telephone Number	:	702-673-1510
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 CATHEDRAL ROCK DR
Second Line	:	210
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0438
Country	:	US
Telephone Number	:	702-430-5000
Fax Number	:

Authorized Official
Title or Position	:	ORTHOPEDICS SPINE SURGERY
Name	:	DR. THOMAS LUTZ VATER
Credential	:	D.O.
Telephone Number	:	702-258-5521

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	01/18/2016

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Directions to “THOMAS L VATER DO LTD ” Practice Location

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