NPI | 1174258206 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD PARKS President 702-625-4334 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
261QG0250X Clinic/Center, Genetics | |
261QH0100X Clinic/Center, Health Services | |
202D00000X Integrative Medicine | |
207QA0505X Family Medicine, Adult Medicine | |
174200000X | |
261QM1000X Clinic/Center, Migrant Health | |
261QP2300X Clinic/Center, Primary Care | |
261QR1100X Clinic/Center, Research | |
335G00000X Medical Foods Supplier | |
Enumeration Date | 2022-07-21 |
Last Update Date | 2022-07-21 |