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Contact Information

CHARLES H. TADLOCK, M.D. LTD
6725 S. EASTERN AVE.
SUITE 6
LAS VEGAS, NV89119
 Phone: 702-474-0200
 Fax: 702-946-5328
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHARLES H. TADLOCK, M.D. LTD

NPI Number 1720292642
LBN Legal business name CHARLES H. TADLOCK, M.D. LTD
Authorized official CHARLES TADLOCK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 10/13/2015 - About 11 years ago
Identifiers
AZ License # 26067
NV License # 48411
NV License # 8402
NV License # PA1256
NV Medicaid 100502539
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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