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Organization

CARLOS T. TISBE, M.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS T TISBE M.D. (PHYSICIAN)
(702) 454-8236
Entity
Organization

Contact information

Practice address
3230 E FLAMINGO RD, 334, LAS VEGAS, NV 89121-4320
(702) 454-8236
(702) 454-8279
Mailing address
3230 E FLAMINGO RD, 334, LAS VEGAS, NV 89121-4320
(702) 454-8236
(702) 454-8279

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10770
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01609049
NV
Enumeration date
10/12/2007
Last updated
03/27/2009
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