| NPI | 1174282552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENDLEY GALICIA Practice Manager 702-202-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |