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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