| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1356318174 | CLARK | EDWARD | 6355 S BUFFALO DR FL 3 | LAS VEGAS | NV | 891132133 | ||
| 1629412002 | HENRY | CHRISTINA | 6355 S BUFFALO DR FL 3 | LAS VEGAS | NV | 891132133 | ||
| 1174596431 | LAO | NANCY | TE | 6355 S BUFFALO DR FL 3 | LAS VEGAS | NV | 891132133 | |
| 1245284959 | TANENGGEE | FREDERICK | JONES | 6355 S BUFFALO DR FL 3 | LAS VEGAS | NV | 891132133 | |
| 1467593715 | THIELE | MARK | R. | 6355 S BUFFALO DR FL 3 | LAS VEGAS | NV | 891132133 |