person
Heather Lee Ta, PA-C
Surgical Physician Assistant in Las Vegas, Nevada
NPI 1043460876

Heather Lee Ta is a Surgical Physician Assistant based in Las Vegas, NV and is specialized in Surgical. Heather Lee Ta practices in Las Vegas, NV and has the professional credentials of PA-C. The NPI Number for Heather Lee Ta is 1043460876 and holds a License No. PA 1132 (Nevada).

The current practice location address for Heather Lee Ta is 2800 E Desert Inn Rd Ste 100, Las Vegas, NV and can be reached out via phone at 702-731-1616 and via fax at 702-734-4900. You can also correspond with Heather Lee Ta through the mailing address at 2800 E DESERT INN RD STE 100, LAS VEGAS, NV - 89121-3609 (mailing address contact number: 702-731-1616).

Location: 2800 E Desert Inn Rd Ste 100, Las Vegas, NV, 89121-3609
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Provider Profile Details
NPI Number
1043460876
Provider Name
Heather Lee Ta
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2800 E Desert Inn Rd Ste 100, Las Vegas, NV, 89121-3609
Phone Number
702-731-1616
Fax Number
702-734-4900
Provider Enumeration Date
09/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA1132 01 NV NV MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2800 E Desert Inn Rd Ste 100
City
State
Zip
89121-3609
Phone Number
702-731-1616
Fax Number
702-734-4900
person
Provider Business Mailing Address Details
Address
2800 E Desert Inn Rd Ste 100
City
State
Zip
89121-3609
Phone Number
702-731-1616
Fax Number
702-734-4900
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1132 (Nevada)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA 1132 (Nevada)
Definition
Definition to come...
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