Serbousek, Thomas R

Serbousek, Thomas R is an individual health care provider with primary practice located at 5785 Centennial Center Blvd Ste 190 , Las Vegas NV 89149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Serbousek, Thomas R can be contacted via phone (702) 383-6270.

Contact Information

Primary practice address
5785 Centennial Center Blvd Ste 190 Las Vegas NV 89149
Phone: (702) 383-6270
Fax: (702) 395-3023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18074 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31415 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 31415 Iowa

Profile Details

NPI number 1992770432
LBN Legal business name Serbousek, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Feb 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992770432 NPPES
Nevada MEDICAID 1992770432
Nevada Other 18074

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