| NPI | 1073621512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J REYES Practice Manager 702-760-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 469asc-8) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2025-10-08 |