NPI | 1205472552 |
---|---|
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 | 2019-11-21 |
Last Update Date | 2024-08-09 |