Ive been coming here for years because I never had insurance until recently but I will continue coming here for sure. The wait time can be a little extreme sometimes but that's to be expected. Brian the office manager is amazing. He is so sweet and always takes the best care of whatever I'm in for. There was a period for a few years that I was constantly struggling with my asthma and he was so kind to assist me with breathing treatments. With no insurance your first visit will be $100 and every time visit after that its only $60. I highly recommend this place for anyone in the Vegas valley who doesn't have a primary doctor or looking for something open on Saturday and Sundays.