| NPI | 1083752919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAY A LAFON President 505-525-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM nm8366) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM nm8366) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |