Provider Demographics
NPI:1669697470
Name:NEUROLOGICAL ASSOCIATES OF NEVADA
Entity type:Organization
Organization Name:NEUROLOGICAL ASSOCIATES OF NEVADA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-951-7250
Mailing Address - Street 1:3960 HOWARD HUGHES PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-5988
Mailing Address - Country:US
Mailing Address - Phone:702-951-7250
Mailing Address - Fax:702-946-5000
Practice Address - Street 1:3960 HOWARD HUGHES PKWY STE 500
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-5988
Practice Address - Country:US
Practice Address - Phone:702-951-7250
Practice Address - Fax:702-946-5000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty