| NPI | 1881769552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUAN HADUONG Owner 702-386-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-12-08 |