# VEGAS MEDICAL CENTER PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508219833
- **Authorized official:** QUAN HADUONG MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (702) 763-4585

## Contact information

- **Practice address:** 1701 W CHARLESTON BLVD STE 600, LAS VEGAS, NV 89102-2343
- **Practice address phone:** (702) 763-4585
- **Practice address fax:** (702) 921-9264
- **Mailing address:** 1701 W CHARLESTON BLVD STE 600, LAS VEGAS, NV 89102-2343
- **Mailing address phone:** (702) 763-4585
- **Mailing address fax:** (702) 921-9264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | B00862 | NV | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 7683 | NV | Yes |

## Other

- **Enumeration date:** 07/21/2016
- **Last updated:** 03/07/2019