Provider Demographics
NPI:1003706524
Name:REGEN WOUND SOLUTIONS LLC
Entity type:Organization
Organization Name:REGEN WOUND SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REX CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-883-0850
Mailing Address - Street 1:6272 SPRING MOUNTAIN RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8876
Mailing Address - Country:US
Mailing Address - Phone:702-861-0254
Mailing Address - Fax:702-425-5540
Practice Address - Street 1:6272 SPRING MOUNTAIN RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8876
Practice Address - Country:US
Practice Address - Phone:702-861-0254
Practice Address - Fax:702-425-5540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty