| NPI | 1538778634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETANIYA WARREN TATUM Owner 702-680-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2022-04-06 |