| NPI | 1114293933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL RODOLFO CHACON Physician 775-232-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NV 9105) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2018-07-31 |