| NPI | 1073335428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULO LOPEZ GONZALEZ Managing Member 702-583-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-12-20 |