Organization
WILLIAM NEAL EVANS MD LTD
Active
Organization
WILLIAM NEAL EVANS MD LTD
Active
Other names
Childrens Heart Center Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JOHNSON (CREDENTIALING MANAGER)
(702) 990-4821
Entity
Organization
Contact information
Practice address
3131 LA CANADA ST STE 230, LAS VEGAS, NV 89169-2551
(702) 732-1290
(702) 260-1926
Mailing address
3131 LA CANADA ST STE 230, LAS VEGAS, NV 89169-2551
(702) 732-1290
(702) 260-1926
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
133V00000X
Registered Dietitian
—
—
170300000X
Genetic Counselor (M.S.)
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500157
—
NV
01
—
XGG007170
MEDI-CAL
—
Enumeration date
01/18/2006
Last updated
05/04/2026
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