NPI | 1801495932 |
---|---|
Doing Business As | ZANE MEDICAL GROUP LLC |
Doing Business As | ZANE BEHAVIORAL SERVICES |
Entity Type | Organization |
Authorized Contact | SUSSAN SIH FUNG Agent 702-802-2011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2020-10-20 |
Last Update Date | 2022-09-01 |