# RESTORIX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689471567
- **Authorized official:** JOHN LACY NP (PRESIDENT)
- **Authorized official phone:** (210) 724-8656

## Contact information

- **Practice address:** 8905 W POST RD STE 110, LAS VEGAS, NV 89148-2429
- **Practice address phone:** (702) 523-6615
- **Mailing address:** 8905 W POST RD STE 110, LAS VEGAS, NV 89148-2429
- **Mailing address phone:** (702) 523-6615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2025
- **Last updated:** 05/12/2025