| NPI | 1245782861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA GONZALEZ Credentialing Coordinator 702-839-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |