Organization
HEALTH TO NEVADA
Active
Other names
Health To You
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER MICHAEL BANNISTER (PRESIDENT)
(775) 772-7551
Entity
Organization
Contact information
Practice address
7251 W LAKE MEAD BLVD STE 300, LAS VEGAS, NV 89128-8380
(702) 405-8392
(702) 562-4062
Mailing address
7251 W LAKE MEAD BLVD STE 300, LAS VEGAS, NV 89128-8380
(702) 405-8392
(702) 562-4062
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
NV201441740613
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619336864
NPI PROVIDER 58
NV
Enumeration date
01/05/2015
Last updated
05/09/2016
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