# MUSNITANANDVAZQUEZLTD

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

## Provider details

- **NPI number:** 1972684629
- **Authorized official:** FERDINAND L TAN MD (PRESIDENT)
- **Authorized official phone:** (702) 459-5500

## Contact information

- **Practice address:** 4550 E CHARLESTON BLVD, LAS VEGAS, NV 89104-5525
- **Practice address phone:** (702) 459-5500
- **Practice address fax:** (702) 938-6962
- **Mailing address:** 4550 E CHARLESTON BLVD, LAS VEGAS, NV 89104-5525
- **Mailing address phone:** (702) 459-5500
- **Mailing address fax:** (702) 938-6962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 09/11/2025