| NPI | 1154866184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LEO BROWN Owner 505-592-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM 17-00010681) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |