| NPI | 1538859988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES CARDENAS Owner 702-426-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |