| NPI | 1144525999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN TING President 505-820-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NM 81-130) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |