| NPI | 1336392745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HORAN President 702-233-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NV 6026) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |