Provider Demographics
NPI:1891205340
Name:NEVADA TMS LLC
Entity Type:Organization
Organization Name:NEVADA TMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAYMA
Authorized Official - Middle Name:CHARLENE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-463-9193
Mailing Address - Street 1:PO BOX 370399
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89137-0399
Mailing Address - Country:US
Mailing Address - Phone:702-476-6300
Mailing Address - Fax:702-476-6575
Practice Address - Street 1:7391 PRAIRIE FALCON RD STE 150B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0815
Practice Address - Country:US
Practice Address - Phone:702-476-6300
Practice Address - Fax:702-476-6575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207T00000X
NV107182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty