| NPI | 1114751112 | 
|---|---|
| Doing Business As | NELLIS FAMILY MEDICAL AND DENTAL CENTER | 
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH ESTEVES Provider Relations Manager 702-220-9902  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | 
| Enumeration Date | 2024-08-30 | 
| Last Update Date | 2024-10-18 |