| NPI | 1720549488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALBERTO VELAZQUEZ Authorized Official 702-960-4150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |