Organization
CHUYS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS CORN-SOTELO PA-C (OWNER)
(702) 695-6576
Entity
Organization
Contact information
Practice address
4225 S EASTERN AVE STE 8, LAS VEGAS, NV 89119-5485
(702) 982-5786
(702) 982-5871
Mailing address
4225 S EASTERN AVE STE 8, LAS VEGAS, NV 89119-5485
(702) 982-5786
(702) 982-5871
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2017
Last updated
03/20/2018
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