| NPI | 1679706790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J REYES Practice Manager 702-628-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 2000772.650) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2025-10-08 |