| NPI | 1922671437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN FOBBS President 702-460-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TF0000X Psychologist Family | |
| 103TH0004X Psychologist Health | |
| 103TH0100X Psychologist Health Service | |
| 103TP0016X Psychologist Prescribing (Medical) | |
| 106H00000X Marriage & Family Therapist | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| 261QP2300X Clinic/Center Primary Care | |
| 363AM0700X Physician Assistant Medical | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LC1500X Nurse Practitioner Community Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |