| 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 |