Organization
NEUROLOGY CLINICS OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL TARIQ DO (PHYSICIAN OWNER)
(702) 956-0996
Entity
Organization
Contact information
Practice address
4275 BURNHAM AVE STE 230, LAS VEGAS, NV 89119-5400
(702) 956-0996
(702) 965-2216
Mailing address
390 OTSEGO CT, HENDERSON, NV 89012-4862
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
05/14/2020
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