| NPI | 1043950736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERAH SEXTON Owner 575-746-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-07-06 |