| NPI | 1801073648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED AHMED Manager 702-948-9482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NV 3935ASC-0) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2019-03-12 |