| NPI | 1457591182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ANTONIO MUJICA TRENCHE Medical Director 702-731-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NV 5456) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |