Individual ProviderPhillip David TigelCounselorBehavioral Health & Social Service ProvidersPractice Address7455 W Washington Ave, #480, Las Vegas, NV 89128-4337(702) 889-5525PECOS EnrollmentBased on the most recent information from CMS, provider Phillip David Tigel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285645077Provider TypeIndividualFull NameTigel, Phillip DavidCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/10/2006Last Updated3/7/2023Contact InformationPractice LocationPractice Address7455 W Washington Ave, #480, Las Vegas, NV 89128-4337Phone(702) 889-5525Fax(702) 364-1771Mailing LocationMailing Address7455 W Washington Ave, #480, Las Vegas, NV 89128-4337Phone(702) 889-5525Fax(702) 364-1771Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense10368Nevada