Provider Demographics
NPI:1477363828
Name:PRECISION VASCULAR PLLC
Entity type:Organization
Organization Name:PRECISION VASCULAR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIRANZA CASIN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:702-986-9255
Mailing Address - Street 1:801 S RANCHO DR STE B2
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3860
Mailing Address - Country:US
Mailing Address - Phone:702-358-8964
Mailing Address - Fax:
Practice Address - Street 1:801 S RANCHO DR STE B2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3860
Practice Address - Country:US
Practice Address - Phone:702-358-8964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty