| NPI | 1033977780 |
|---|---|
| Doing Business As | THE BOSQUE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT MARTINEZ Owner 505-934-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-10-16 |