# CHARLES H. TADLOCK, M.D. LTD

> 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
- **Other names:** CENTER FOR PAIN MANAGEMENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720292642
- **Authorized official:** DR. CHARLES HENRY TADLOCK M.D. (PRESIDENT)
- **Authorized official phone:** (702) 474-0200

## Contact information

- **Practice address:** 6725 S. EASTERN AVE., SUITE 6, LAS VEGAS, NV 89119
- **Practice address phone:** (702) 474-0200
- **Practice address fax:** (702) 946-5328
- **Mailing address:** 6725 S. EASTERN AVE., SUITE 6, LAS VEGAS, NV 89119
- **Mailing address phone:** (702) 474-0200
- **Mailing address fax:** (702) 474-7165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 26067 | AZ | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 48411 | NV | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 8402 | NV | — |
| 363AM0700X | Medical Physician Assistant | PA1256 | NV | — |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 10/13/2015