| NPI | 1578372579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESHUN LOMAX Owner 702-527-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |