| NPI | 1124107446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SANCHEZ Credentialing 575-472-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 6794) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2023-10-11 |