NPI 1043424443

Rico Fontillas INC

Organisation Child & Adolescent Psychiatry Physician Henderson, NV

Practice location

Address: 1090 Wigwam Parkway #100, Henderson, NV 89074
Phone: (702) 454-0201
Fax: (702) 454-1245

Authorised official

Name: Rico Fontillas
Title: Owner
Phone: (702) 454-0201

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 6501 (NV)

Other Psychiatry & Neurology providers in Nevada →

Registry record

NPI: 1043424443
Entity type: Organization
NPI issued: 9 May 2007
Record last updated: 30 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.