| NPI | 1629372198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL CRUZ Doctor Of Medicine 702-525-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD073155L) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |