Provider Demographics
NPI:1730414491
Name:CHAMBERS & ASSOCIATES OBGYN AND GYNECOLOGICAL SURGERY PLLC
Entity type:Organization
Organization Name:CHAMBERS & ASSOCIATES OBGYN AND GYNECOLOGICAL SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:P
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-463-0800
Mailing Address - Street 1:PO BOX 401177
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89140-1177
Mailing Address - Country:US
Mailing Address - Phone:702-463-0800
Mailing Address - Fax:702-463-0801
Practice Address - Street 1:5875 S RAINBOW BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2556
Practice Address - Country:US
Practice Address - Phone:702-463-0800
Practice Address - Fax:702-463-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCS514AMedicare PIN