| NPI | 1730995929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN GIL LLANES Owner And Director 702-376-2485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |