Victor A Estrada MD Chtd
Allergy & Immunology in Las Vegas, NV. Organization (NPI-2).
NPI number1801200480
StatusActive
Last updated in NPPESOct 18, 2017
Details
- NPI
- 1801200480
- Entity type
- Organization (NPI-2)
- Legal business name
- Victor A Estrada MD Chtd
- Organization subpart
- No
- Enumeration date
- Jun 11, 2014
- Last updated
- Oct 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | – | – | Yes |
Practice location
4445 S Eastern AveSuite A
Las Vegas, NV 89119-7851
Phone 702-735-1556 · Fax 702-737-7495
Mailing address
Po Box 202110Austin, TX 78720-2110
Phone 512-732-2774
Authorized official
Robyn Wolf
Credentialing Specialist
5127322774
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