| NPI | 1497597975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA REMEDIOS CASTELLO Managing Member 702-809-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-07 |