| NPI | 1053989715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L GARCIA Office Manager/Business Partner 505-890-8955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2022-08-26 |