| NPI | 1225144439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MARTINEZ Office Manager 575-622-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 2002-0070) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-10-30 |