| NPI | 1346904190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Medical Staff Supervisor 702-579-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |