| 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 |