| NPI | 1265468086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J LANSDELL Chief Credentials Officer 505-272-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |