| NPI | 1467251397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR ALONSO ODUARDO Provider 702-957-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |