| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1972825222 | CHU | THOMAS | 5841 E. CHARLESTON BOULVARD | LAS VEGAS | NEVADA | 89142 | ||
| 1427153691 | HIBBERT | ALFREDO | A | 5841 E CHARLESTON BLVD | LAS VEGAS | NV | 898916659 | |
| 1114152345 | PANER | KATHRINA | LIBRANDO | 5841 E CHARLESTON BLVD # 230-479 | LAS VEGAS | NV | 891421021 |