Provider Demographics
NPI:1114523172
Name:ANESTHESIA ASSOCIATES OF ELKO BECKETT & COWAN PLLC
Entity Type:Organization
Organization Name:ANESTHESIA ASSOCIATES OF ELKO BECKETT & COWAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-339-8747
Mailing Address - Street 1:11242 SAN TERRAZO PL
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-6086
Mailing Address - Country:US
Mailing Address - Phone:702-339-8747
Mailing Address - Fax:
Practice Address - Street 1:2100 IDAHO ST
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-2625
Practice Address - Country:US
Practice Address - Phone:908-653-9399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty