Organization
ALLIED CENTER FOR SPECIAL SURGERY, LAS VEGAS, LLC
Active
Other names
St. Michael's Center for Special Surgery. Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA KELLNER DMC (DIRECTOR OF MEDICAL CREDENTIALING)
(713) 586-6705
Entity
Organization
Contact information
Practice address
2865 SIENA HEIGHTS DR, HENDERSON, NV 89052-4167
(713) 586-6705
(713) 586-6752
Mailing address
PO BOX 924587, HOUSTON, TX 77292-4587
(713) 586-6705
(713) 586-6752
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
800981711
TX
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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