NPI | 1265198451 |
---|---|
Entity Type | Organization |
Authorized Contact | GENEVE RODRIGUEZ Director Of Operations 702-752-2134 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
1223G0001X Dentist General Practice | |
152W00000X Optometrist | |
163WI0500X Registered Nurse Infusion Therapy | |
163WP0808X Registered Nurse Psychiatric/Mental Health | |
207Q00000X Family Medicine | |
207RC0000X Internal Medicine Cardiovascular Disease | |
207RI0200X Internal Medicine Infectious Disease | |
207RR0500X Internal Medicine Rheumatology | |
207VG0400X Obstetrics & Gynecology Gynecology | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology Psychiatry | |
213E00000X Podiatrist | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-11-11 |
Last Update Date | 2024-04-23 |