| NPI | 1033444658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GURULE Credentialing Specialist 505-367-3547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NM R25973) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-23 |