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 |