INNOVATIVE MT LLC is a family nurse practitioner in Las Vegas, NV. INNOVATIVE MT LLC NPI is 1184147712. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
7395 DESERTSCAPE AVE
LAS VEGAS, NV
ZIP 89178-800
Phone: (702) 706-2804
Fax: (512) 590-7104
The provider's authorized official is Kenneth Tam .
The authorized official title is Practice Manager and has the following contact phone number (702) 706-2804.
The enumeration date for this NPI number is 7/25/2017 and was last updated on 7/25/2017.