| NPI | 1447794466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE GUERRA Owner 702-809-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 11608) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: NV 11608) |
| 208M00000X Hospitalist (Licence: NV 11608) | |
| 208M00000X Hospitalist (Licence: UT 6826335-1205) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN001889) | |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2017-11-17 |