Provider Demographics
NPI:1871034017
Name:DANIEL E BATLAN PROF CORP
Entity Type:Organization
Organization Name:DANIEL E BATLAN PROF CORP
Other - Org Name:SPECIALIZED PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:BATLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-838-8004
Mailing Address - Street 1:1930 VILLAGE CENTER CIR
Mailing Address - Street 2:NO 3-710
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-6299
Mailing Address - Country:US
Mailing Address - Phone:702-838-8004
Mailing Address - Fax:702-838-5085
Practice Address - Street 1:1930 VILLAGE CENTER CIR
Practice Address - Street 2:NO 3-710
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-6299
Practice Address - Country:US
Practice Address - Phone:702-838-8004
Practice Address - Fax:702-838-5085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty