CHARLES H. TADLOCK, M.D. LTD
Medical Practice in Las Vegas, NV

License number
Nevada 48411
Category
Osteopathic Medicine
Type
Pain Medicine
License number
Nevada 26067
Category
Osteopathic Medicine
Type
Pain Medicine
License number
Nevada 8402
Category
Osteopathic Medicine
Type
Pain Medicine
License number
Nevada PA1256
Category
Nursing
Type
Medical
Owner
Name: DR. CHARLES HENRY TADLOCK M.D.
Title: PRESIDENT
Phone: (702) 474-0200
Address
Address
6725 S. Eastern Ave. SUITE 6, Las Vegas, NV 89119
National Provider ID: 1720292642
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CHARLES H. TADLOCK, M.D. LTD at bizstanding.com

CHARLES H. TADLOCK, M.D. CORPORATION

Las Vegas, NV  -  Kingman, AZ

Status:
Inactive
Doing business as:
CHARLES H. TADLOCK, M.D., LTD<br>Charles H. Tadlock, M.D.,Ltd<br>Center for Pain Management<br>Charles H. Tadlock, MD LTD
Inactive reason:
Revoked-file annual report
Registration:
Jun 15, 2005
Inactive since:
Jan 27, 2015
Site:
www.centerforpainmanagement.us
Phone:
(702) 946-5320 (Phone), (702) 946-5328 (Fax), (702) 474-0200 (Phone), (877) 259-7246 (Free)
Addresses:
6725 S Eastern Ave #6, Las Vegas, NV 89119 (Physical)
1912 Miami Ave, Kingman, AZ 86401 (Physical)
State ID:
5942626-0111
Business type:
Business Name Reservation
Expiration:
Perpetual
Administrators:
Charles H Tadlock (President, Director, Secretary, Treasurer), 6725 S Eastern Ave #6, Las Vegas, NV 89119 (Physical),Tammy Shaffer (Administrator)
Agent:
Charles Henry Tadlock,1490 E Foremaster Dr STE 260, Saint George, UT 84790 (Physical)
Categories:
Physicians - Specialists, Clinics - Pain Management, Anesthesiology Physicians, ...
Products:
Anesthesiologist, Anesthesiology And, Anesthesiology and Pain Management, ...

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