Organization Name: | HEADACHE SPECIALISTS |
NPI Number: | 1316121783 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEHDI ANSARINIA (DOCTOT/) |
Mailing Address: | 3101 S Maryland Pkwy Ste 211 Las Vegas |
State: | NV US |
Postal Code: | 891092323 |
Phone Number: | 7029512243 |
Fax Number: | 7029512262 |
NPI Enumeration Date: | 12/20/2007 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 9957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |