| NPI | 1538159728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYREE CARR Medical Director 702-838-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NV 3011ASC-8) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-08-22 |