| NPI | 1023852928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVE RODRIGUEZ Director Of Operations 702-380-8118 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |