| NPI | 1164095899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO RODRIGUEZ COO 702-510-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-10-08 |