| NPI | 1891267498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SANDERS Manager 702-205-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251E00000X Home Health | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2021-11-12 |