| NPI | 1447899448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA TORRES Administrator 702-963-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| 261Q00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2023-11-09 |