NPI 1184047409
An Open Door
Practice location
- Address
- 4804 Lufkin Ave, Las Vegas, NV 89130-3038
- Phone
- (702) 580-0177
Authorised official
- Name
- Crystal J Cooks
- Title
- Owner
- Phone
- (702) 580-0177
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1184047409
- Entity type
- Organization
- NPI issued
- 22 Jan 2014
- Record last updated
- 22 Jan 2014
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.