| NPI | 1871331116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LEE Owner/Medical Director 702-768-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |