# TENAYA SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1538159728
- **Authorized official:** DR. TYREE CARR MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (702) 838-7755

## Contact information

- **Practice address:** 2800 N TENAYA WAY, SUITE 101, LAS VEGAS, NV 89128-0652
- **Practice address phone:** (702) 838-7755
- **Practice address fax:** (702) 966-7766
- **Mailing address:** 2800 N TENAYA WAY, SUITE 101, LAS VEGAS, NV 89128-0652
- **Mailing address phone:** (702) 838-7755
- **Mailing address fax:** (702) 966-7766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 3011ASC-8 | NV | Yes |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 08/22/2020