| NPI | 1003143660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS ROBERTO DURAN Owner 575-647-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2008-0053) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |