Organization
TDV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL DE VERA (MANAGER)
(725) 312-9003
Entity
Organization
Contact information
Practice address
2300 W SAHARA AVE STE 800, LAS VEGAS, NV 89102-4397
(725) 312-9003
(702) 922-3527
Mailing address
8241 LAREDO ST, LAS VEGAS, NV 89117-7649
(725) 312-9003
(702) 922-3527
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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