Provider Demographics
NPI:1225385842
Name:QUICKND PAIN CARE
Entity Type:Organization
Organization Name:QUICKND PAIN CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:TARQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-732-7407
Mailing Address - Street 1:3111 S MARYLAND PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2319
Mailing Address - Country:US
Mailing Address - Phone:702-732-7407
Mailing Address - Fax:
Practice Address - Street 1:3111 S MARYLAND PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2319
Practice Address - Country:US
Practice Address - Phone:702-732-7407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11543207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty