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 |