| NPI | 1033327770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BYRD Administrative Director Of Reimburs 505-609-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 208800000X Urology | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2025-07-16 |