Provider Demographics
NPI:1689785081
Name:PABLO JOYA MD CHARTERED
Entity Type:Organization
Organization Name:PABLO JOYA MD CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:ULISES
Authorized Official - Last Name:JOYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-386-6167
Mailing Address - Street 1:341 N BUFFALO DR STE C
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-0376
Mailing Address - Country:US
Mailing Address - Phone:702-386-6167
Mailing Address - Fax:702-386-0487
Practice Address - Street 1:341 N BUFFALO DR STE C
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-0376
Practice Address - Country:US
Practice Address - Phone:702-386-6167
Practice Address - Fax:702-386-0487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3308174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty