| NPI | 1932892700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA TORRES Credentialing 775-747-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-11-15 |