| NPI | 1679277032 |
|---|---|
| Doing Business As | EAR NOSE THROAT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | LAURA C MADRID Billing Manager 702-209-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |