| NPI | 1134450885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SANDOVAL Owner 505-662-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM 84-112) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2019-01-31 |