RICO FONTILLAS INC NPI 1043424443

NPI Information

RICO FONTILLAS INC is a child and adolescent psychiatry psychiatry neurology in Henderson, NV. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. RICO FONTILLAS INC NPI is 1043424443. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ricardo Fontillas Md.

The provider's business location address is:

1090 WIGWAM PARKWAY
#100
HENDERSON, NV
ZIP 89074
Phone: (702) 454-0201
Fax: (702) 454-1245

The provider's authorized official is Rico Fontillas .
The authorized official title is Owner and has the following contact phone number (702) 454-0201.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 11/30/2007.

Taxonomy Codes

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