| NPI | 1962079301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETANIYA WARREN Owner 702-686-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-07-21 |