| NPI | 1215920426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL SIMMONS President/Physician 505-434-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2016-10-26 |