NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1396377909 | COOPER | ERIC |   |   | 9127 W RUSSELL RD STE 110 | LAS VEGAS | NV | 891481253 |
1144789066 | DIZON | ERWIN |   |   | 9127 W RUSSELL RD STE 110 | LAS VEGAS | NV | 891481253 |
1487297594 | KUMTHAVAI | THANINEE |   |   | PO BOX 840857 | DALLAS | TX | 752840857 |
1114550480 | PEREZ | ERIC |   |   | PO BOX 840857 | DALLAS | TX | 752840857 |