| NPI | 1588465736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORINE HAYNES Owner 702-412-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP3300X Clinic/Center, Pain | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |