OrganizationActive
Burn and Reconstructive Centers of Nevada, LLC
NPI 1073087680 · Specialist · Las Vegas, NV
Provider details
- NPI number
- 1073087680
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Shawn Fagan, Owner/Md(706) 863-9595
Specialties & taxonomies
Other Service Providers
Practice location
3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone: (706) 863-9595
Fax: (706) 868-8375
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12357
Augusta, GA 30914-2357
Registry dates
- Enumerated
- 2019-01-16
- Last updated
- 2022-10-11
- Certified
- 2022-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.