NPI | 1992992978 |
---|---|
Entity Type | Organization |
Authorized Contact | GUILLERMO HUGO FRAGA Physician 702-452-3002 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV 7867) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2007-10-03 |