NPI | 1942900998 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT J PAULINO President 702-629-8826 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
261Q00000X Clinic/Center | |
Enumeration Date | 2023-03-08 |
Last Update Date | 2023-03-08 |