| NPI | 1386509537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET REYNA FUNES Administrator 702-725-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 207RN0300X Internal Medicine, Nephrology | |
| 2085B0100X Radiology, Body Imaging | |
| 208800000X Urology | |
| 208VP0000X | |
| 174400000X Specialist | |
| 183500000X Pharmacist | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |