NPI | 1821884727 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN SLAUGHTER Owner 702-336-4611 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 172V00000X Community Health Worker |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2025-04-17 |
Last Update Date | 2025-05-01 |