| NPI | 1124664115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA HERRERA Credentialing Manager 505-944-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-06-12 |