| NPI | 1124406269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI LASHEA GLASON DARAG Md, Owner 575-652-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2013-0836) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2017-10-10 |