| NPI | 1922273101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MELENDEZ President 702-798-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 4482) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NV 10082) |
| 208D00000X General Practice (Licence: NV PA798) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2023-12-20 |