| NPI | 1124499058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BAGGS Family Nurse Practitioner 575-689-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NM CNP-02783) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |