| NPI | 1972684629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERDINAND L TAN President 702-459-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |