| NPI | 1376258244 |
|---|---|
| Other Name | BESPOKE PROFESSIONAL SERVICES, A PHYSICIAN ASSISTANT CORPORATION |
| Entity Type | Organization |
| Authorized Contact | THI HOANG Business Office Advoctae 702-205-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |