| NPI | 1578668422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A CERVANTES M.D. President 402-292-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |