Individual
SOCRATES FELIPE PIZA BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1564 TANGERINE ROSE DR, LAS VEGAS, NV 89142-0975
(702) 750-5782
Mailing address
1564 TANGERINE ROSE DR, LAS VEGAS, NV 89142-0975
(702) 750-5782
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
23-581
NV
363A00000X
Physician Assistant
Primary
3029
PR
363AM0700X
Medical Physician Assistant
3029
PR
363AS0400X
Surgical Physician Assistant
3029
PR
Other
Enumeration date
08/28/2023
Last updated
02/10/2026
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