Organization Name: | PORTEOUS UNITED SURGICAL ANESTHESIOLOGISTS, PLLC |
NPI Number: | 1922345594 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGSON PORTEOUS (OWNER) |
Mailing Address: | 2739 Sunridge Heights Pkwy Ste 110 Henderson |
State: | NV US |
Postal Code: | 890525042 |
Phone Number: | 7023864700 |
Fax Number: | 7023864701 |
NPI Enumeration Date: | 01/15/2013 |
NPI Last Update Date: | 01/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |