| NPI | 1053129122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA D CASAN Managing Member 702-523-5204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |