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 |