| NPI | 1508219833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUAN HADUONG Medical Director 702-763-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 7683) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NV B00862) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2019-03-07 |