MEDICARE: ETHAN MILTON CRUVANT 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
1	208D00000X	General Practice Physician	5854	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110227382	OTHER		RAILROAD MEDICARE

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
3	880344806A002	OTHER		TRIWEST

General Provider Information

NPI Number	:	1740287192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ETHAN MILTON CRUVANT MD

Provider Business Mailing Address
First Line	:	8205 W. WARM SPRINGS RD.
Second Line	:	SUITE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3612
Country	:	US
Telephone Number	:	702-735-8734
Fax Number	:	702-735-2726

Provider Business Practice Location Address
First Line	:	8205 W. WARM SPRINGS RD.
Second Line	:	SUITE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89113
Country	:	US
Telephone Number	:	702-735-8734
Fax Number	:	702-735-2726

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	06/14/2011

Similar Medicare Providers

1659314763 — DR. CHARLIE T LIN D.O.
Practice Location Address:

6355 S BUFFALO DR FL 3
LAS VEGAS, NV
89113-2133

Practice Phone: 702-952-9171
Practice Fax: 702-952-9136

1427633494 — CAITLIN LONG
Practice Location Address:

7312 FOUNTAIN VILLAGE AVE
LAS VEGAS, NV
89113-4641

Practice Phone: 256-520-9409
Practice Fax:

1467316588 — GABRIELA SAUCEDO
Practice Location Address:

7160 RAFAEL RIVERA WAY STE 110
LAS VEGAS, NV
89113-5394

Practice Phone: 702-850-2691
Practice Fax:

1326902313 — MISS MELISSA RAMIREZ CURBELO
Practice Location Address:

5980 S DURANGO DR
LAS VEGAS, NV
89113-1779

Practice Phone: 188-850-5163
Practice Fax:

1356803233 — ANDREWSTON TING DO
Practice Location Address:

7160 RAFAEL RIVERA WAY STE 210
LAS VEGAS, NV
89113-5395

Practice Phone: 702-878-0070
Practice Fax: 702-805-0307

1326798505 — DR. ALEX CABRERA MD
Practice Location Address:

6655 S CIMARRON RD STE 100
LAS VEGAS, NV
89113-2181

Practice Phone: 702-853-3561
Practice Fax:

1174483044 — CASSANDRA LARENTE DPT
Practice Location Address:

6048 S DURANGO DR STE 100
LAS VEGAS, NV
89113-1781

Practice Phone: 702-260-6238
Practice Fax: 702-263-6530

Directions to “ ETHAN MILTON CRUVANT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.