| NPI | 1093230138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILO TABORA Managing Partner 702-968-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV 9691) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-07-21 |