Organization
REVIVE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISANDRA VEGA CASTRO (OWNER)
(702) 788-6219
Entity
Organization
Contact information
Practice address
7321 ASPIRE CT, LAS VEGAS, NV 89113-1183
(702) 788-6219
Mailing address
7321 ASPIRE CT, LAS VEGAS, NV 89113-1183
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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