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NPI Code Detail

MEDICARE: BAUZA NEUROPSYCHIATRY CENTER LLC

MEDICARE: BAUZA NEUROPSYCHIATRY CENTER LLC
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
1163W00000XRegistered Nurse
22084A0401XAddiction Medicine (Psychiatry & Neurology) Physician
3101YA0400XAddiction (Substance Use Disorder) Counselor
4101YM0800XMental Health Counselor
52084B0040XBehavioral Neurology & Neuropsychiatry Physician
62084P0800XPsychiatry Physician
7106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1881200723
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAUZA NEUROPSYCHIATRY CENTER LLC
Provider Business Mailing Address
First Line : 1601 E FLAMINGO RD STE 18
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5244
Country : US
Telephone Number : 702-478-9971
Fax Number : 702-478-9968
Provider Business Practice Location Address
First Line : 1601 E FLAMINGO RD STE 18
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5244
Country : US
Telephone Number : 702-478-9971
Fax Number : 702-478-9968
Authorized Official
Title or Position : OWNER-CEO
Name : LUIS ANGEL RODRIGUEZ BAUZA
Credential :
Telephone Number : 702-810-0066
Provider Enumeration Date : 09/16/2020
Last Update Date : 04/08/2026

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Directions to “BAUZA NEUROPSYCHIATRY CENTER LLC ” Practice Location

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