| NPI | 1053407460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI K PADGETT Nurse Practitioner 505-327-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM r55878) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |