| NPI | 1649977067 |
|---|---|
| Doing Business As | PREMISE HEALTH WELLNESS CENTER-LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | STEVEN ASHLEY HINITT Authorized Official 210-563-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |