| NPI | 1194545962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR ALONSO Provider 702-475-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-01-28 |