NPI | 1467644831 |
---|---|
Former Legal Business Name | DR GRADY JOSEPH WILLIAMS LLC |
Entity Type | Organization |
Authorized Contact | GRADY JOSEPH WILLIAMS LLC Owner 702-809-8899 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NV 296) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2016-10-21 |