| NPI | 1245920396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USHA PHILLIPS Owner 575-259-3785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-09-28 |