Organization
MUSNITANANDVAZQUEZLTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERDINAND L TAN MD (PRESIDENT)
(702) 459-5500
Entity
Organization
Contact information
Practice address
4550 E CHARLESTON BLVD, LAS VEGAS, NV 89104-5525
(702) 459-5500
(702) 938-6962
Mailing address
4550 E CHARLESTON BLVD, LAS VEGAS, NV 89104-5525
(702) 459-5500
(702) 938-6962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/18/2006
Last updated
09/11/2025
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