Provider Demographics
NPI:1841428141
Name:SISKIND, ERIC JOSHUA (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JOSHUA
Last Name:SISKIND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 W CHARLESTON BLVD. STE. 508
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:702-383-2688
Mailing Address - Fax:
Practice Address - Street 1:1325 PENNSYLVANIA AVE STE 450
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2191
Practice Address - Country:US
Practice Address - Phone:817-250-7240
Practice Address - Fax:888-977-1985
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU0276204F00000X
NV19821204F00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery