# FLAMINGO PECOS SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgery Center of Southern Nevada
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790873966
- **Authorized official:** ROBERT W. BARNES (ADMINISTRATOR)
- **Authorized official phone:** (702) 868-2796

## Contact information

- **Practice address:** 4275 BURNHAM AVE, SUITE 101, LAS VEGAS, NV 89119-5488
- **Practice address phone:** (702) 933-8088
- **Practice address fax:** (702) 933-5040
- **Mailing address:** 2110 E FLAMINGO RD, SUITE 109, LAS VEGAS, NV 89119-5190
- **Mailing address phone:** (702) 868-2796
- **Mailing address fax:** (702) 650-5099

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 05/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100500440 | — | NV |