| NPI | 1760959498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADEEM TARIQ Owner 702-210-7941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2019-03-19 |