| NPI | 1003277443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE THI MAI Managing Member 702-480-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2016-03-13 |
| Last Update Date | 2016-03-13 |