| NPI | 1053046623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO FLORES Administrator/Owner 915-276-0865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |