Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Burn and Reconstructive Centers of Nevada, LLC

Organization Specialist · NPI 1073087680

Burn and Reconstructive Centers of Nevada, LLC provides Specialist services in Las Vegas, Nevada. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone: (706) 863-9595
Fax: (706) 868-8375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1073087680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Fagan — Owner/Md · (706) 863-9595
NPI enumeratedJanuary 16, 2019
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing addressPo Box 12357, Augusta, GA 30914-2357

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