# HENDERSON OB/GYN LLC

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

## Provider details

- **NPI number:** 1710945092
- **Authorized official:** ORLANDIS L. WELLS M.D. (MANAGING MEMBER)
- **Authorized official phone:** (702) 568-6108

## Contact information

- **Practice address:** 98 E LAKE MEAD PKWY STE 307, SUITE 307, HENDERSON, NV 89015-6444
- **Practice address phone:** (702) 568-6108
- **Practice address fax:** (702) 568-8603
- **Mailing address:** PO BOX 530124, HENDERSON, NV 89053-0124
- **Mailing address phone:** (702) 568-6108
- **Mailing address fax:** (702) 568-8603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 08/22/2020