| NPI | 1104241173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE E PEARSON, MD Owner 575-625-8452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM 2003-0352) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2018-06-20 |