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Contact Information

PATRICK DAVIS PA-C LTD
724 KENDALL LN
BOULDER CITY, NV89005-1112
 Phone: 702-604-7422
 Fax: 908-345-8788
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PATRICK DAVIS PA-C LTD

NPI Number 1366702797
LBN Legal business name PATRICK DAVIS PA-C LTD
Authorized official PATRICK DAVIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2012
Last updated 10/22/2019 - About 7 years ago
Identifiers
NV License # PA823
NV Other NV20091190921 NV SOS BUSINESS LICENSE
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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