| NPI | 1629474150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY BURNS Administrator 702-622-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NV DO 1374) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV do1374) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2015-04-04 |