| NPI | 1063027696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GARCIA Owner 505-401-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-12-04 |