| NPI | 1063428431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE LAFON Medical Director 505-544-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 81-71) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NM 2003-0634) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-08-27 |