OrganizationActive
Charles H. Tadlock, M.D. Ltd
NPI 1962720078 · Non-Pharmacy Dispensing Site · Las Vegas, NV
Provider details
- NPI number
- 1962720078
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Charles H. Tadlock, M.D. Ltd
- Organization subpart
- Yes
- Authorized official
- Charles Tadlock, Owner(702) 474-0200
Specialties & taxonomies
Suppliers
Practice location
6725 S Eastern Ave Ste 6
Las Vegas, NV 89119-3949
Phone: (702) 474-0200
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2010-05-13
- Last updated
- 2011-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.