Basic Information
| Provider Information | |||||||||
| NPI: | 1275023798 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | OASIS SURGERY CENTER L.L.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2779 W HORIZON RIDGE PKWY STE 140 | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890524186 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7025623590 | ||||||||
| FaxNumber: | 7022528826 | ||||||||
| Practice Location | |||||||||
| Address1: | 2779 W HORIZON RIDGE PKWY STE 140 | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890524186 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7025623590 | ||||||||
| FaxNumber: | 7022528826 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2018 | ||||||||
| LastUpdateDate: | 05/10/2018 | ||||||||
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| AuthorizedOfficialLastName: | YEE | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7028133888 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.