Organization
THOMAS KING HALOW MDS LTD
Active
Other names
Carson Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN D. HALOW MD (SECRETARY)
(775) 882-2067
Entity
Organization
Contact information
Practice address
1375 VISTA LANE, CARSON CITY, NV 89703
(775) 882-2067
Mailing address
1375 VISTA LN, CARSON CITY, NV 89703-4643
(775) 882-2067
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7178
BLUE CROSS BLUE SHIELD
NV
01
—
CO3147
RAILROAD MEDICARE
NV
Enumeration date
04/09/2007
Last updated
09/25/2022
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