| NPI | 1265425425 |
|---|---|
| Doing Business As | HMS MED SQUARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DANIEL OTERO CEO 575-542-2322 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 3318) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2016-03-04 |