# EAR NOSE THROAT SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EAR NOSE THROAT SURGERY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679277032
- **Authorized official:** LAURA C MADRID (BILLING MANAGER)
- **Authorized official phone:** (702) 209-3377

## Contact information

- **Practice address:** 8840 W SUNSET RD STE B, LAS VEGAS, NV 89148-4897
- **Practice address phone:** (702) 209-3377
- **Mailing address:** 8840 W SUNSET RD STE B, LAS VEGAS, NV 89148-4897
- **Mailing address phone:** (702) 209-3377
- **Mailing address fax:** (702) 209-3369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2023
- **Last updated:** 03/29/2023