| NPI | 1831076298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA YATES Billing Manager 702-655-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |