| NPI | 1225550940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLMAN CHAN Employee 702-622-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NV 14418) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-07-21 |