Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Burn and Reconstructive Centers of Nevada, LLC

Organization Specialist · NPI 1073087680

Burn and Reconstructive Centers of Nevada, LLC is a Specialist 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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