| NPI | 1245995315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEITHA C BURTON Revenue Cycle Manager 505-539-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2023-04-12 |